person
Amanda Komisarow, DMD
Student in an Organized Health Care Education/Training Program in Birmingham, Alabama
NPI 1376048710

Amanda Komisarow is a Student in an Organized Health Care Education/Training Program based in Suwanee, AL. Amanda Komisarow practices in Birmingham, AL and has the professional credentials of DMD. The NPI Number for Amanda Komisarow is 1376048710 and holds a License No. (Alabama).

The current practice location address for Amanda Komisarow is 700 19Th St S, Birmingham, AL and can be reached out via phone at 205-933-8101.

Location: 700 19Th St S, Birmingham, AL, 30024-5338
person
Provider Profile Details
NPI Number
1376048710
Provider Name
Amanda Komisarow
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
700 19Th St S, Birmingham, AL, 30024-5338
Phone Number
205-933-8101
Fax Number
Provider Enumeration Date
03/28/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
700 19Th St S
City
State
Zip
35233-1927
Phone Number
205-933-8101
Fax Number
person
Provider Business Mailing Address Details
Address
700 19Th St S
City
State
Zip
35233-1927
Phone Number
205-933-8101
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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