| Ralph A. Crevoisier D.d.s.,m.s.d. Pc | |
|
8110 Windway Dr San Antonio TX 78239-2433 | |
| (210) 653-9227 | |
| Not Available |
| Full Name | Ralph A. Crevoisier D.d.s.,m.s.d. Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 8110 Windway Dr, San Antonio, Texas |
| Authorized Official Name and Position | Ralph Aaron Crevoisier (PRESIDENT) |
| Authorized Official Contact | 2104944978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph A. Crevoisier D.d.s.,m.s.d. Pc 14107 Country Vale San Antonio TX 78216-2354 Ph: (210) 494-4978 | Ralph A. Crevoisier D.d.s.,m.s.d. Pc 8110 Windway Dr San Antonio TX 78239-2433 Ph: (210) 653-9227 |
| NPI Number | 1972761450 |
|---|---|
| Provider Enumeration Date | 05/30/2008 |
| Last Update Date | 05/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972761450 | NPI | - | NPPES |
| 515067495 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 7663 (Texas) | Primary |
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