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NPI Code Detail

MEDICARE: DR. EDGAR ALAN LUNA DMD

MEDICARE: DR. EDGAR ALAN LUNA DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry4645AL

General Provider Information

NPI Number : 1962624577
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDGAR ALAN LUNA DMD
Provider Business Mailing Address
First Line : 5336 STADIUM TRACE PARKWAY
Second Line : SUITE 102
City : BIRMINGHAM
State : AL
Zip : 35244
Country : US
Telephone Number : 205-988-9700
Fax Number : 205-988-4191
Provider Business Practice Location Address
First Line : 5336 STADIUM TRACE PARKWAY
Second Line : SUITE 102
City : BIRMINGHAM
State : AL
Zip : 35244-1095
Country : US
Telephone Number : 205-988-9700
Fax Number : 205-988-4191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 04/08/2010

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Directions to “ DR. EDGAR ALAN LUNA DMD” Practice Location

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