Organization
SMILES ONEONTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOELY MARIM-EBERHARDT DMD, MS (PEDIATRIC DENTIST)
(205) 274-2414
Entity
Organization
Contact information
Practice address
27550 STATE HIGHWAY 75 STE 104, ONEONTA, AL 35121-3204
(205) 274-2414
Mailing address
27550 STATE HIGHWAY 75 STE 104, ONEONTA, AL 35121-3204
(205) 274-2414
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5343
AL
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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