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Individual

DR. MICHAEL KING VANN II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1808 GADSDEN HWY STE 134, BIRMINGHAM, AL 35235-3140
(205) 508-3399
(205) 623-0834
Mailing address
1808 GADSDEN HWY STE 134, BIRMINGHAM, AL 35235-3140
(205) 508-3399

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5293
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
126434
AL
Enumeration date
10/19/2006
Last updated
02/10/2023
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