Individual
JENNIFER LEIGH BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1919 7TH AVE S, SDB 412, BIRMINGHAM, AL 35233-2005
(205) 934-4551
(205) 934-7901
Mailing address
1919 7TH AVE S, SDB 412, BIRMINGHAM, AL 35233-2005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3512-09
MS
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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