| Lora Gaxiola Dmd Inc. | |
|
194 Narrows Dr Suite 105 Birmingham AL 35242-8667 | |
| (205) 981-2994 | |
| Not Available |
| Full Name | Lora Gaxiola Dmd Inc. |
|---|---|
| Speciality | Dentist |
| Location | 194 Narrows Dr, Birmingham, Alabama |
| Authorized Official Name and Position | Lora P Gaxiola (PRESIDENT) |
| Authorized Official Contact | 2059812994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lora Gaxiola Dmd Inc. 194 Narrows Dr Suite 105 Birmingham AL 35242-8667 Ph: (205) 981-2994 | Lora Gaxiola Dmd Inc. 194 Narrows Dr Suite 105 Birmingham AL 35242-8667 Ph: (205) 981-2994 |
| NPI Number | 1528352127 |
|---|---|
| Provider Enumeration Date | 06/01/2011 |
| Last Update Date | 06/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528352127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5658 (Alabama) | Primary |
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