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Organization
SAINT APOLLONIA MEDICAID DENTAL CLINIC OF TEXAS, PA
Active
Organization
SAINT APOLLONIA MEDICAID DENTAL CLINIC OF TEXAS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS WYATT ANDERSON DDS (PRESIDENT)
(979) 541-5400
Entity
Organization
Contact information
Practice address
1108 N MECHANIC ST, EL CAMPO, TX 77437-3030
(979) 541-5400
(979) 541-5462
Mailing address
1108 N MECHANIC ST, EL CAMPO, TX 77437-3030
(979) 541-5400
(979) 541-5462
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20250
TX
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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