Vital Smiles Alabama II PC

NPI #1164989208 in Mobile, Alabama

Provider Information

NPI Number: 1164989208
Entity Type: Organization
Organization Name: Vital Smiles Alabama II PC
Primary Specialty: Dentist
Enumeration Date: Feb 25, 2019
Last Updated: Feb 25, 2019

Practice Location

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

Authorized Official

Name: PREET TAKKAR
Title: CHIEF INFORMATION OFFICER
Phone: (714) 571-3372

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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