| Alice Dental Associates | |
|
750 Coyote Trl Alice TX 78332-4004 | |
| (361) 668-3384 | |
| (361) 668-6191 |
| Full Name | Alice Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 750 Coyote Trl, Alice, Texas |
| Authorized Official Name and Position | Cynthia Garza (ADMINISTRATOR) |
| Authorized Official Contact | 3616683384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alice Dental Associates 750 Coyote Trl Alice TX 78332-4004 Ph: (361) 668-3384 | Alice Dental Associates 750 Coyote Trl Alice TX 78332-4004 Ph: (361) 668-3384 |
| NPI Number | 1285907725 |
|---|---|
| Provider Enumeration Date | 02/14/2012 |
| Last Update Date | 02/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285907725 | NPI | - | NPPES |
| 009902001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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