Individual
DR. SHANDRA LADREA KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
2305 ARLINGTON AVE S, BIRMINGHAM, AL 35205
(205) 930-0705
(205) 930-0809
Mailing address
2305 ARLINGTON AVE S, BIRMINGHAM, AL 35205
(205) 930-0705
(205) 930-0809
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
4522
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000092680
—
AL
Enumeration date
09/25/2006
Last updated
07/09/2007
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