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Organization

MCCALLA ORTHODONTICS AND PEDIATRIC DENTISTRY, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OLGA M. SANCHEZ-HERNANDEZ D.M.D., M.S., M.S. (OWNER)
(205) 477-8004
Entity
Organization

Contact information

Practice address
4764 EASTERN VALLEY RD, SUITE 104-106, MC CALLA, AL 35111-3469
(205) 477-8004
(205) 477-8214
Mailing address
4764 EASTERN VALLEY RD STE 104-106, MC CALLA, AL 35111-3469
(205) 477-8004

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4956
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1364757
UNITED CONCORDIA
AL
01
51523968
BCBS
AL
Enumeration date
01/31/2008
Last updated
01/31/2008
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