| Liles Pediatric Dentistry | |
|
2828 W Edgemont Ave Montgomery AL 36108-4020 | |
| (205) 401-4998 | |
| Not Available |
| Full Name | Liles Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2828 W Edgemont Ave, Montgomery, Alabama |
| Authorized Official Name and Position | George Brabner Liles (DENTIST) |
| Authorized Official Contact | 2054014998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liles Pediatric Dentistry Po Box 1148 Montgomery AL 36101-1148 Ph: (205) 401-4998 | Liles Pediatric Dentistry 2828 W Edgemont Ave Montgomery AL 36108-4020 Ph: (205) 401-4998 |
| NPI Number | 1669793246 |
|---|---|
| Provider Enumeration Date | 06/17/2010 |
| Last Update Date | 06/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669793246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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