Organization
VESTAVIA DENTAL GROUP P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E SANDERSON D.M.D (PRESIDENT)
(205) 822-0155
Entity
Organization
Contact information
Practice address
2112 LYNNGATE DR, BIRMINGHAM, AL 35216-5244
(205) 822-0155
(205) 978-5514
Mailing address
2112 LYNNGATE DR, BIRMINGHAM, AL 35216-5244
(205) 822-0155
(205) 978-5514
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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