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Individual
ALAN RAMON SIMMONS
Active
Individual
ALAN RAMON SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19218
TX
1223E0200X
Endodontics
19218TT
TX
1223G0001X
General Practice Dentistry
19218
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007937801
—
TX
Enumeration date
09/25/2006
Last updated
11/22/2019
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