Organization
PEDIATRIC DENTAL ASSOCIATES OF CAHABA HEIGHTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD CHAMBLISS DDS (OWNER)
(205) 453-0314
Entity
Organization
Contact information
Practice address
4213 DOLLY RIDGE RD, VESTAVIA, AL 35243-5703
(205) 490-6850
Mailing address
4213 DOLLY RIDGE RD, VESTAVIA, AL 35243-5703
(205) 490-6850
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5181
AL
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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