Individual
VIVEK BRAHMBHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11460 US HIGHWAY 431, GUNTERSVILLE, AL 35976-5747
(256) 763-0915
Mailing address
520 SUMMIT PL, BIRMINGHAM, AL 35243-3111
(678) 704-3617
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0006646-C1
AL
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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