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Organization

MAGIC CITY DENTISTRY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AINSLEE BOSWELL (ADMINISTRATIVE ASSISTANT)
(205) 823-3223
Entity
Organization

Contact information

Practice address
2117 1ST AVE N, BIRMINGHAM, AL 35203-4201
(205) 238-6800
Mailing address
2816 COLUMBIANA RD, VESTAVIA HILLS, AL 35216-2518
(205) 823-3223

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4659
AL

Other

Enumeration date
05/15/2018
Last updated
05/15/2018
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