Organization
DENTISTRY FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN JOSEPH CUMBUS DMD (OWNER)
(334) 277-6830
Entity
Organization
Contact information
Practice address
5833 CARMICHAEL RD, MONTGOMERY, AL 36117
(334) 277-6830
Mailing address
5833 CARMICHAEL ROAD, MONTGOMERY, AL 36117
(334) 277-6830
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2988
AL
1223P0221X
Pediatric Dentistry
5462
AL
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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