Organization · Type 2 NPI

Paul Gaston Petznick DMD Fagd LLC

Dental Clinic/Center · Homewood, AL

NPI number 1265970487 Active

Practice location

2045 Brookwood Medical Ctr Dr, Suite 6
Homewood, AL 35209-6874

Fax (205) 637-1933

Mailing address

PO Box 530652
Birmingham, AL 35253-0652

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X4316 (AL)

Dental Clinic/Center: Definition to come...

11 other providers at this address

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About NPI 1265970487

Paul Gaston Petznick DMD Fagd LLC's National Provider Identifier is 1265970487, issued on Feb 8, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Homewood, AL. The record was last updated on Feb 8, 2017.