Individual
MARIA PAK DORSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
114 BROOKWOOD RD E, MIDFIELD, AL 35228-2240
(205) 923-6828
Mailing address
213 KNOLL CREST DR, HOMEWOOD, AL 35209-6430
(256) 694-0192
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6507
AL
1223G0001X
General Practice Dentistry
Primary
6507
AL
Other
Enumeration date
06/07/2018
Last updated
11/19/2018
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