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Organization

LILES PEDIATRIC DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GEORGE BRABNER LILES DMD (DENTIST)
(205) 401-4998
Entity
Organization

Contact information

Practice address
1204 OGLETREE VILLAGE LN, AUBURN, AL 36830-2960
(334) 887-0099
(334) 209-2067
Mailing address
PO BOX 1148, MONTGOMERY, AL 36101-1148
(205) 401-4998

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
06/17/2010
Last updated
02/18/2025
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