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Organization
LAKE TRAVIS ORAL & MAXILLOFACIAL SURGERY, PLLC.
Active
Organization
LAKE TRAVIS ORAL & MAXILLOFACIAL SURGERY, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY A. ALFORD DDS (PRESIDENT)
(512) 261-6900
Entity
Organization
Contact information
Practice address
1921 LOHMANS CROSSING, SUITE 208, LAKEWAY, TX 78734-5282
(512) 261-6900
(512) 532-0303
Mailing address
1921 LOHMANS CROSSING, SUITE 208, LAKEWAY, TX 78734-5282
(512) 261-6900
(512) 532-0303
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
21279
TX
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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