Alligator Dental | |
901 South Highway 123 Bypass Seguin TX 78155 | |
(830) 372-3725 | |
Not Available |
Full Name | Alligator Dental |
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Speciality | Dentist - Pediatric Dentistry |
Location | 901 South Highway 123 Bypass, Seguin, Texas |
Authorized Official Name and Position | Alfred Monroe Burns (OWNER) |
Authorized Official Contact | 8303723725 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Alligator Dental Po Box 540 Seguin TX 78156-0540 Ph: (830) 372-3725 | Alligator Dental 901 South Highway 123 Bypass Seguin TX 78155 Ph: (830) 372-3725 |
NPI Number | 1114156957 |
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Provider Enumeration Date | 07/14/2009 |
Last Update Date | 07/14/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114156957 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 24186 (Texas) | Primary |
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