Roland Alonzo, DDS Valid NPI

Individual provider · Dentist · Fort Campbell, KY

NPI

1538775937

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

36549 (TX)

Sex

Male

Sole proprietor

Yes

Enumerated

2020-09-21

Last updated

2020-10-05