Organization
JOSEPH RONDEROS DMD PC
Active
Other names
Springville Family Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH VINCENT RONDEROS SR. D.M.D. (PRESIDENT)
(205) 467-6147
Entity
Organization
Contact information
Practice address
420 WALKER DR, SPRINGVILLE, AL 35146-3250
(205) 467-6147
(205) 467-2933
Mailing address
420 WALKER DR, PO BOX 706, SPRINGVILLE, AL 35146-3250
(205) 467-6147
(205) 467-2933
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4254
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008905230
—
AL
Enumeration date
11/28/2012
Last updated
11/28/2012
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