Organization
UNIVERSITY ORTHODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CYRUS HARAWAY JR. DMD (PRESIDENT)
(205) 553-2524
Entity
Organization
Contact information
Practice address
641 HELEN KELLER BLVD, TUSCALOOSA, AL 35404-2983
(205) 553-2524
(205) 553-6617
Mailing address
641 HELEN KELLER BLVD, TUSCALOOSA, AL 35404-2983
(205) 553-2524
(205) 553-6617
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3937
AL
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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