Individual
ROBERT W HARRADINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2121 14TH AVE S, BIRMINGHAM, AL 35205-3901
(205) 933-1291
(205) 930-9029
Mailing address
2121 14TH AVE S, BIRMINGHAM, AL 35205-3901
(205) 933-1291
(205) 930-9029
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5077
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5077
ALABAMA DENTAL LICENSE
AL
Enumeration date
04/13/2007
Last updated
07/08/2007
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