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Individual

DR. ANDREA CIBULSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
402A COGSWELL AVE, PELL CITY, AL 35125-2446
(205) 338-2970
(205) 338-7175
Mailing address
402A COGSWELL AVE, PELL CITY, AL 35125-2446
(205) 338-2970
(205) 338-7175

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AL5411
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04630
PROVIDER NUMBER
AL
Enumeration date
09/20/2007
Last updated
09/20/2007
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