Pda Ortho Cullman LLC

NPI #1467025866 in Cullman, Alabama

Provider Information

NPI Number
1467025866
Entity Type
Organization
Organization Name
Pda Ortho Cullman LLC
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Jul 22, 2021
Last Updated
Sep 12, 2023

Practice Location

Address
1907 MAIN AVE SW STE A
State
Alabama
ZIP Code
35055-5218
Phone
(256) 279-9852

Authorized Official

Name
MALLORY SAMUELSON
Title
OPERATIONS MANAGER
Phone
(615) 631-9226

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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