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DEVETA PEOPLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DENTIST

Contact information

Practice address
1700 AVENUE E, WESTERN HEALTH CENTER, BIRMINGHAM, AL 35218-1543
(205) 241-5277
Mailing address
1700 AVENUE E, WESTERN HEALTH CENTER, BIRMINGHAM, AL 35218-1543
(205) 241-5277

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4065
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
510-06353 CENTRAL
BLUE CROSS BLUE SHIELD
AL
01
510-06354
BLUE CROSS BLUE SHIELD
AL
01
510-06361 EASTERN
BLUE CROSS BLUE SHIELD
AL
01
51512819PEO
WESTERN LOCATION
AL
Enumeration date
05/10/2006
Last updated
09/28/2007
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