Individual
ALEXA RUTTENBERG MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5500 1ST AVE S, BIRMINGHAM, AL 35212-2518
(205) 592-2255
Mailing address
1618 KRISTI CIR, VESTAVIA, AL 35243-5832
(205) 914-4848
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D.007256
AL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/09/2022
Last updated
07/02/2024
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