Individual
DR. SAMANTHA F ROLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4730 WOODMERE BLVD, MONTGOMERY, AL 36106-3065
(334) 277-5665
Mailing address
1609 PINENEEDLE RD, MONTGOMERY, AL 36106-2613
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6311
AL
1223G0001X
General Practice Dentistry
Primary
6311
AL
Other
Enumeration date
04/03/2017
Last updated
06/03/2020
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