Organization
DAPHNE PEDIATRIC DENTISTRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD TODD CHAMBLISS DMD (PEDIATRIC DENTIST)
(251) 447-0627
Entity
Organization
Contact information
Practice address
7058 PROFESSIONAL PLACE, DAPHNE, AL 36526
(251) 447-0627
(251) 447-0639
Mailing address
7058 PROFESSIONAL PLACE, DAPHNE, AL 36526
(251) 447-0627
(251) 447-0639
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4830
AL
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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