Organization
IRON CITY DENTISTRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE ANN FRESE DMD (DENTIST/OWNER)
(205) 767-8610
Entity
Organization
Contact information
Practice address
220 WALKER RD, BIRMINGHAM, AL 35214-3138
(205) 798-1780
Mailing address
220 WALKER RD, BIRMINGHAM, AL 35214-3138
(205) 798-1780
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477946218
—
AL
Enumeration date
03/06/2018
Last updated
03/06/2018
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