Provider First Line Business Practice Location Address:
1919 7TH AVENUE SOUTH, SDB 305
Provider Second Line Business Practice Location Address:
UNIVERSITY OF ALABAMA SCHOOL OF DENTISTRY
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35294
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-457-2977
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/02/2015