Organization
ALABAMA PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BAJJALIEH DMD (DENTIST)
(205) 802-7277
Entity
Organization
Contact information
Practice address
3500 INDEPENDENCE DR, STE 100, BIRMINGHAM, AL 35209-2687
(205) 802-7277
Mailing address
3500 INDEPENDENCE DR, STE 100, BIRMINGHAM, AL 35209-2627
(205) 802-7277
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5189
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009934632
—
AL
Enumeration date
11/14/2007
Last updated
04/20/2015
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