Individual
DR. ALPHONZO LOWELL DAVIDSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-5352
Mailing address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-5352
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
DSS044828
PA
Other
Enumeration date
06/18/2024
Last updated
08/15/2024
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