Organization
CAPSTONE KIDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DOUGLAS OLIVER JR. D.D.S (OWNER)
(870) 897-3192
Entity
Organization
Contact information
Practice address
204 MCFARLAND CIR N, TUSCALOOSA, AL 35406-1800
(870) 897-3192
Mailing address
204 MCFARLAND CIR N, TUSCALOOSA, AL 35406-1800
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5151
AL
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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