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1760008486
JOSE ANTONIO ALFONSO
ELIZABETH, NJ
NPI
1760008486
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL DN24955)
Enumeration Date
2020-06-18
Last Update Date
2020-06-18
Business Address
Dr. JOSE ANTONIO ALFONSO DMD
775 N BROAD ST APT A504
ELIZABETH, NJ 07208-2417
Phone number: 786-614-8927
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Mailing Address
Dr. JOSE ANTONIO ALFONSO DMD
775 N BROAD ST APT A504
ELIZABETH, NJ 07208-2417
Phone number: 786-614-8927
Copy
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