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1740023555
ALPHONZO LOWELL DAVIDSON
PHILADELPHIA, PA
NPI
1740023555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA DSS044828)
Enumeration Date
2024-06-18
Last Update Date
2024-08-15
Business Address
Dr. ALPHONZO LOWELL DAVIDSON DDS
3223 N BROAD ST
PHILADELPHIA, PA 19140-5007
Phone number: 215-707-5352
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Mailing Address
Dr. ALPHONZO LOWELL DAVIDSON DDS
3223 N BROAD ST
PHILADELPHIA, PA 19140-5007
Phone number: 215-707-5352
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