| Fairhaven Oral Health Center | |
|
1424 Montclair Rd Irondale AL 35210-2208 | |
| (205) 951-1473 | |
| Not Available |
| Full Name | Fairhaven Oral Health Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1424 Montclair Rd, Irondale, Alabama |
| Authorized Official Name and Position | Lillian M Mitchell (DENTAL DIRECTOR) |
| Authorized Official Contact | 2059511473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairhaven Oral Health Center 1424 Montclair Rd Irondale AL 35210-2208 Ph: (205) 951-1473 | Fairhaven Oral Health Center 1424 Montclair Rd Irondale AL 35210-2208 Ph: (205) 951-1473 |
| NPI Number | 1013256650 |
|---|---|
| Provider Enumeration Date | 02/01/2013 |
| Last Update Date | 02/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013256650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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