Organization
LIBERTY PARK FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA NUNES DMD (PRESIDENT)
(205) 602-4533
Entity
Organization
Contact information
Practice address
8000 LIBERTY PKWY STE 126, VESTAVIA, AL 35242-7565
(205) 413-8116
Mailing address
3508 SPRINGHILL RD, MOUNTAIN BRK, AL 35223-2013
(205) 602-4533
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5514
AL
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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