Individual
DANIELLE OUTLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
111 B Y WILLIAMS SR DR, MIDFIELD, AL 35228-2218
(205) 923-3172
Mailing address
101 GREYSTONE GLEN DR, BIRMINGHAM, AL 35242-7105
(409) 719-6852
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12339
TN
1223G0001X
General Practice Dentistry
Primary
D-0006995-C1
AL
Other
Enumeration date
07/07/2017
Last updated
08/30/2023
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