Individual
DR. THOMAS BRENT CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5528 1ST AVE N, BIRMINGHAM, AL 35212-2445
(205) 592-2255
Mailing address
1013 9TH TER, PLEASANT GROVE, AL 35127-2209
(205) 478-3569
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6294
AL
Other
Enumeration date
06/11/2016
Last updated
06/11/2016
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