Southlake Dental Care Management

NPI #1124472956 in Hoover, Alabama

Provider Information

NPI Number: 1124472956
Entity Type: Organization
Organization Name: Southlake Dental Care Management
Primary Specialty: Dentist
Enumeration Date: Apr 18, 2016
Last Updated: Apr 18, 2016

Practice Location

Address: 4501 SOUTHLAKE PKWY
City: Hoover
State: Alabama
ZIP Code: 35244-3644
Phone: (205) 988-5656

Authorized Official

Name: DR. KAROL MEDINA POCZATEK, D.M.D.
Title: DENTIST
Phone: (205) 988-5656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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