Luna Aesthetic Dentistry
Dentist, General Practice in Birmingham, AL. Organization (NPI-2).
NPI number1972503522
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1972503522
- Entity type
- Organization (NPI-2)
- Legal business name
- Luna Aesthetic Dentistry
- Organization subpart
- No
- Enumeration date
- Jul 26, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 4645 | AL | Yes |
Practice location
2949 John Hawkins PkwyBirmingham, AL 35244-1095
Phone 205-988-9700 · Fax 205-988-4191
Mailing address
2949 John Hawkins PkwyBirmingham, AL 35244-1095
Phone 205-988-9700 · Fax 205-988-4191
Authorized official
Edgar Alan Luna
Owner
2059889700
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