Provider First Line Business Practice Location Address:
1400 6TH AVE S
Provider Second Line Business Practice Location Address:
JEFFERSON COUNTY HEALTH DEPT-CENTRAL DENTAL CLINIC
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35233-1502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-930-1422
Provider Business Practice Location Address Fax Number:
205-930-1448
Provider Enumeration Date:
10/10/2006