Individual
EMMANUEL ALFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3611 SW 34TH ST APT 230, GAINESVILLE, FL 32608-6574
(786) 461-4840
Mailing address
3611 SW 34TH ST APT 230, GAINESVILLE, FL 32608-6574
(786) 461-4840
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1626
FL
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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