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Individual

DR. ROSS TAYLOR PALESANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
111 E RIDGELEY ST, ATMORE, AL 36502-2013
(251) 368-3237
Mailing address
414 ELLINGTON AVE, FAIRHOPE, AL 36532-7128
(251) 509-4651

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-0007046-C1
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D-0007046-C1
AL
Enumeration date
06/15/2022
Last updated
06/15/2022
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