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Organization
PAUL GASTON PETZNICK DMD FAGD LLC
Active
Organization
PAUL GASTON PETZNICK DMD FAGD LLC
Active
Other names
Petznick Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL GASTON PETZNICK DMD (DENTIST)
(205) 326-7444
Entity
Organization
Contact information
Practice address
2045 BROOKWOOD MEDICAL CTR DR, SUITE 6, HOMEWOOD, AL 35209-6874
(205) 326-7444
(205) 637-1933
Mailing address
PO BOX 530652, BIRMINGHAM, AL 35253-0652
(205) 326-7444
(205) 637-1933
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4316
AL
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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