NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1700178654
VITAL SMILES ALABAMA, P. C.
2525 CENTER POINT PKWY
BIRMINGHAM
AL
352152548
1861568891
PHILIPP
RONALD
G
2525 CENTERPOINT PARKWAY
BIRMINGHAM
AL
35215
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