Individual
ROLAND ALONZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2441 21ST ST, FORT CAMPBELL, KY 42223-5582
(270) 412-2787
Mailing address
2441 21ST ST, FORT CAMPBELL, KY 42223-5582
(270) 412-2787
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36549
TX
Other
Enumeration date
09/21/2020
Last updated
10/05/2020
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