Individual
MICHELLE BAJJALIEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3500 INDEPENDENCE DR, STE 100, HOMEWOOD, AL 35209-2687
(205) 802-7277
(205) 802-7279
Mailing address
3500 INDEPENDENCE DR, STE 100, BIRMINGHAM, AL 35209-5710
(205) 802-7277
(205) 802-7279
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5189
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245264266
—
AL
Enumeration date
07/10/2006
Last updated
04/17/2015
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