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Organization
ALBERT A ALFONSO DDS PA
Active
Organization
ALBERT A ALFONSO DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT A ALFONSO DDS (OWNER)
(281) 807-6555
Entity
Organization
Contact information
Practice address
10926 GRANT RD, HOUSTON, TX 77070-4445
(281) 807-6555
(281) 469-5907
Mailing address
10926 GRANT RD, HOUSTON, TX 77070-4445
(281) 807-6555
(281) 469-5907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20647
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295824753
INDIVIDUAL NPI
TX
05
—
147952905
—
TX
Enumeration date
06/10/2008
Last updated
06/10/2008
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