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Organization

PDA CALERA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICAHRD BAKER CHAMBLISS DMD (OWNER/ DENTIST)
(205) 453-0314
Entity
Organization

Contact information

Practice address
101 HIGHWAY 87 BLDG 100, CALERA, AL 35040-7203
(678) 628-8303
(256) 285-1485
Mailing address
50 CROPWELL DR STE 2, PELL CITY, AL 35128-7552
(678) 628-8303

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
05/06/2024
Last updated
05/06/2024
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