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Organization
CENTRAL AVENUE DENTISTRY LLC
Active
Organization
CENTRAL AVENUE DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA ASHWORTH MANISCALCO DMD (DENTIST)
(205) 870-1363
Entity
Organization
Contact information
Practice address
2901 CENTRAL AVE, BIRMINGHAM, AL 35209-2505
(205) 870-1363
Mailing address
2901 CENTRAL AVE, BIRMINGHAM, AL 35209-2505
(205) 870-1363
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2022
Last updated
03/28/2022
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