Organization
DIEGUEZ-MARINO ORTHODONTICS P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERTHA MARIA DIEGUEZ-MARINO DMD (ORTHODONTIST)
(205) 980-4744
Entity
Organization
Contact information
Practice address
2800 GREYSTONE COMMERCIAL BLVD, SUITE 4-A, BIRMINGHAM, AL 35242-2667
(205) 980-4744
Mailing address
2072 CAHABA CREST DR, BIRMINGHAM, AL 35242-4417
(205) 980-4744
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4224
AL
Other
Enumeration date
10/28/2006
Last updated
08/22/2020
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