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Individual
ALEXANDER NULL
Active
Individual
ALEXANDER NULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN22206
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN122934
GA
Other
Enumeration date
09/01/2016
Last updated
12/27/2022
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