Organization
PAUL GASTON PETZNICK DMD FAGD LLC
Active
Other names
Petznick Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL GASTON PETZNICK DMD (DENTIST)
(205) 326-7444
Entity
Organization
Contact information
Practice address
2045 BROOKWOOD MEDICAL CTR DR, SUITE 6, HOMEWOOD, AL 35209-6874
(205) 326-7444
(205) 637-1933
Mailing address
PO BOX 530652, BIRMINGHAM, AL 35253-0652
(205) 326-7444
(205) 637-1933
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4316
AL
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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