Organization
BIRMINGHAM BRACES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH BUSSEY (MANAGER)
(205) 956-4277
Entity
Organization
Contact information
Practice address
2224 CAHABA VALLEY DR, BIRMINGHAM, AL 35242-2668
(205) 956-4277
(205) 991-6575
Mailing address
PO BOX 130224, BIRMINGHAM, AL 35213-0224
(205) 296-3149
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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