ROOSEVELT ALFONSO DANIEL

MONTGOMERY, AL
NPI1043344617
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AL  3328)
Enumeration Date2007-03-15
Last Update Date2007-07-08
Business Address
Dr. ROOSEVELT ALFONSO DANIEL DDS
524 E EDGEMONT AVE
MONTGOMERY, AL 36111-1321
Phone number: 334-834-9647
Mailing Address
Dr. ROOSEVELT ALFONSO DANIEL DDS
118 N HAARDT DR
MONTGOMERY, AL 36105-1646
Phone number: 334-834-4188