Organization
TRUSSVILLE DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI F MOON (OFFICE MANAGER)
(205) 661-2201
Entity
Organization
Contact information
Practice address
3713 MARY TAYLOR RD, BIRMINGHAM, AL 35235-3261
(205) 661-2201
(205) 661-2331
Mailing address
3713 MARY TAYLOR RD, BIRMINGHAM, AL 35235-3261
(205) 661-2201
(205) 661-2331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
AL
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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