Organization
LUNA AESTHETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR ALAN LUNA DMD (OWNER)
(205) 988-9700
Entity
Organization
Contact information
Practice address
2949 JOHN HAWKINS PKWY, BIRMINGHAM, AL 35244-1095
(205) 988-9700
(205) 988-4191
Mailing address
2949 JOHN HAWKINS PKWY, BIRMINGHAM, AL 35244-1095
(205) 988-9700
(205) 988-4191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4645
AL
Other
Enumeration date
07/26/2005
Last updated
08/22/2020
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