Individual
DR. RONALD CONNALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD,MD
Contact information
Practice address
23845 MAIN STREET, MONTROSE, AL 36559-0910
(251) 375-1639
Mailing address
PO BOX 910, MONTROSE, AL 36559-0910
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4360
AL
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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