Enhance Dental LLC

NPI #1154561496 in Pelham, Alabama

Provider Information

NPI Number: 1154561496
Entity Type: Organization
Organization Name: Enhance Dental LLC
Primary Specialty: Dentist
Enumeration Date: Feb 26, 2009
Last Updated: Feb 26, 2009

Practice Location

Address: 389 HUNTLEY PKWY
City: Pelham
State: Alabama
ZIP Code: 35124-6164
Phone: (205) 664-5099

Authorized Official

Name: DR. KIMONNIE SHANNON, DDS
Title: DENTIST
Phone: (205) 664-5099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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