Individual
DR. RENEE EVELYN PROCHAZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1001 ODUM RD STE 103, GARDENDALE, AL 35071-2695
(205) 666-0015
Mailing address
1120 BEACON PKWY E APT 601, BIRMINGHAM, AL 35209-1024
(423) 834-1345
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0006631
AL
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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