Individual
DR. LARRY GENE DEEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4515 SOUTHLAKE PKWY, SUITE 101, BIRMINGHAM, AL 35244-3317
(205) 988-5656
(205) 988-3972
Mailing address
4515 SOUTHLAKE PKWY, SUITE 101, BIRMINGHAM, AL 35244-3317
(205) 988-5656
(205) 988-3972
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LN0 3410
AL
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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