Organization
UAB HOSPITAL
Active
Other names
Fairhaven Oral Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAN M MITCHELL DDS (DENTAL DIRECTOR)
(205) 951-1473
Entity
Organization
Contact information
Practice address
1424 MONTCLAIR RD, IRONDALE, AL 35210-2208
(205) 951-1473
Mailing address
1424 MONTCLAIR RD, IRONDALE, AL 35210-2208
(205) 951-1473
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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