| Kentros Dental Llc | |
|
[email protected] 1973 Chandalar Drive Pelham AL 35124 | |
| (205) 663-6246 | |
| (205) 663-0242 |
| Full Name | Kentros Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | [email protected], Pelham, Alabama |
| Authorized Official Name and Position | Tamie L Smith (BUSINESS ADMIN) |
| Authorized Official Contact | 2059370746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentros Dental Llc [email protected] 1973 Chandalar Drive Pelham AL 35124 Ph: (205) 663-6246 | Kentros Dental Llc [email protected] 1973 Chandalar Drive Pelham AL 35124 Ph: (205) 663-6246 |
| NPI Number | 1477199511 |
|---|---|
| Provider Enumeration Date | 11/25/2019 |
| Last Update Date | 11/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477199511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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