MARIO E ALFONSO

SOUTHAVEN, MS
NPI1225048911
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: MS  MS2062-84)
Enumeration Date2006-08-08
Last Update Date2007-07-08
Business Address
DR. MARIO E ALFONSO D.D.S.
7085 SWINNEA RD SUITE A
SOUTHAVEN, MS 38671-6001
Phone number: 662-349-3038
Mailing Address
DR. MARIO E ALFONSO D.D.S.
7085 SWINNEA RD SUITE A
SOUTHAVEN, MS 38671-6001
Phone number: 662-349-3038