DR. Roosevelt Alfonso Daniel, DDS
NPI #1043344617 in Montgomery, Alabama
Provider Information
- NPI Number
- 1043344617
- Entity Type
- Individual
- Name
- DR. Roosevelt Alfonso Daniel, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Mar 15, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 524 E EDGEMONT AVE
- City
- Montgomery
- State
- Alabama
- ZIP Code
- 36111-1321
- Phone
- (334) 834-9647
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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