| Loren D Alves, Dmd, Pa | |
|
1954 E Houston St Ste. 210 San Antonio TX 78202-2951 | |
| (210) 208-6525 | |
| (210) 208-6528 |
| Full Name | Loren D Alves, Dmd, Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1954 E Houston St, San Antonio, Texas |
| Authorized Official Name and Position | Loren D. Alves (PRESIDENT) |
| Authorized Official Contact | 2102086525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loren D Alves, Dmd, Pa 1954 E Houston St Ste. 210 San Antonio TX 78202-2951 Ph: (210) 208-6525 | Loren D Alves, Dmd, Pa 1954 E Houston St Ste. 210 San Antonio TX 78202-2951 Ph: (210) 208-6525 |
| NPI Number | 1497029755 |
|---|---|
| Provider Enumeration Date | 03/05/2012 |
| Last Update Date | 03/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497029755 | NPI | - | NPPES |
| 151152902 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 15284 (Texas) | Primary |
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