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Organization
MCCALLA ORTHODONTICS AND PEDIATRIC DENTISTRY, P.C.
Active
Organization
MCCALLA ORTHODONTICS AND PEDIATRIC DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLGA M. SANCHEZ-HERNANDEZ D.M.D., M.S., M.S. (OWNER)
(205) 477-8004
Entity
Organization
Contact information
Practice address
4764 EASTERN VALLEY RD, SUITE 104-106, MC CALLA, AL 35111-3469
(205) 477-8004
(205) 477-8214
Mailing address
4764 EASTERN VALLEY RD STE 104-106, MC CALLA, AL 35111-3469
(205) 477-8004
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4956
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1364757
UNITED CONCORDIA
AL
01
—
51523968
BCBS
AL
Enumeration date
01/31/2008
Last updated
01/31/2008
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