Organization
MALBIS PARKWAY PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY M JONES DMD (PEDIATRIC DENTIST/OWNER)
(251) 626-9924
Entity
Organization
Contact information
Practice address
9807 MCSARA COURT, DAPHNE, AL 36527-8668
(251) 626-9924
(251) 626-9984
Mailing address
30888 PINE CT, SPANISH FORT, AL 36527-8668
(251) 626-9924
(251) 626-9984
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5534
AL
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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