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1043344617
ROOSEVELT ALFONSO DANIEL
MONTGOMERY, AL
NPI
1043344617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AL 3328)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
Dr. ROOSEVELT ALFONSO DANIEL DDS
524 E EDGEMONT AVE
MONTGOMERY, AL 36111-1321
Phone number: 334-834-9647
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Mailing Address
Dr. ROOSEVELT ALFONSO DANIEL DDS
118 N HAARDT DR
MONTGOMERY, AL 36105-1646
Phone number: 334-834-4188
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