Individual
ALEXANDER RAFAEL ROJANO FONTALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4891
Mailing address
8245135 2ND STREET APT P, JAMICA, NY 11435
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NY
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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