Individual
DR. LEONORDA M DYSART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2152 46TH PLACE ENSLEY, BIRMINGHAM, AL 35208-4602
(205) 788-8889
Mailing address
2125 N GRANDE VIEW LN, MAYLENE, AL 35114-6011
(205) 788-8889
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5045
AL
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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