Provider Demographics
NPI:1871634857
Name:BELL, ALONZO M (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALONZO
Middle Name:M
Last Name:BELL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1454 DUKE ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-3403
Mailing Address - Country:US
Mailing Address - Phone:703-836-3384
Mailing Address - Fax:703-836-8132
Practice Address - Street 1:1454 DUKE ST
Practice Address - Street 2:SUITE 200
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-3403
Practice Address - Country:US
Practice Address - Phone:703-836-3384
Practice Address - Fax:703-836-8132
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-10
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA65151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice