Vital Smiles Alabama PC

NPI #1134421746 in Mobile, Alabama

Provider Information

NPI Number
1134421746
Entity Type
Organization
Organization Name
Vital Smiles Alabama PC
Primary Specialty
Health Maintenance Organization
Enumeration Date
Dec 2, 2010
Last Updated
Dec 2, 2010

Practice Location

Address
2727 PLEASANT VALLEY RD
City
Mobile
State
Alabama
ZIP Code
36606-2162
Phone
(251) 473-5705

Authorized Official

Name
DR. GEORGE DAVID JOHNSON JR., DDS
Title
PRESIDENT
Phone
(205) 271-6851

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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