Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 3449 | AL |
NPI | 1245303593 |
---|---|
Provider Name | Dr. Sandra Jean Oneal |
First Address | Birmingham, AL 35294-0001 |
Second Address | Birmingham, AL 35294-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2006 |
Last Update Date | 08/07/2007 |