Organization
THE PEDIATRIC DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY DISON (RECEPTIONIST)
(256) 766-0270
Entity
Organization
Contact information
Practice address
162 ANA DR, FLORENCE, AL 35630-1759
(256) 766-0270
Mailing address
162 ANA DR, FLORENCE, AL 35630-1759
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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