Organization
JDR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA DELMAS (OFFICE MANAGER)
(256) 533-6006
Entity
Organization
Contact information
Practice address
2338 PANSY ST SW, HUNTSVILLE, AL 35801-3803
(256) 533-6006
(256) 533-6022
Mailing address
2338 PANSY ST SW, HUNTSVILLE, AL 35801-3803
(256) 533-6006
(256) 533-6022
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5518
AL
Other
Enumeration date
06/07/2007
Last updated
08/22/2020
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