Roosevelt Alfonso Daniel DDS

NPI 1043344617 - Dentist - 1223G0001X

NPI Details
NPI 1043344617
Gender Male
Enumeration Date 03/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
524 E EDGEMONT AVE
MONTGOMERY AL, 36111-1321, US
Phone (334) 834-9647
Fax (334) 834-3716
Business Location
118 N HAARDT DR
MONTGOMERY AL, 36105-1646, US
Phone (334) 834-4188
Fax (334) 834-9647
Toxanomy
Taxonomy Code 1223G0001X
License State Alabama
License Number 3328
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According to our database, Dr. Roosevelt Alfonso Daniel DDS NPI is 1043344617, taxonomy code is 1223G0001X and license number is 3328, license state is located at Alabama. Roosevelt Alfonso Daniel DDS physically located at 524 E Edgemont Ave, Montgomery AL, 36111-1321. NPI Number Roosevelt Alfonso Daniel DDS has the Individual type.

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1043344617 NPI number is provided on an as is basis without warranty of any kind. 1043344617 is maintained by the National Plan & Provider Enumeration System. The contents of Roosevelt Alfonso Daniel DDS are for informational purposes only.