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Organization
JAROSLAV DOLEZAL D.D.S.,P.A.
Active
Organization
JAROSLAV DOLEZAL D.D.S.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAROSLAV DOLEZAL D.D.S. (PRESIDENT)
(361) 668-4208
Entity
Organization
Contact information
Practice address
215 E 1ST ST, ALICE, TX 78332-4821
(361) 668-4208
(361) 668-1025
Mailing address
215 E 1ST ST, ALICE, TX 78332-4821
(361) 668-4208
(361) 668-1025
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18057
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
866224
UNITED CONCORDIA INS.
TX
Enumeration date
09/20/2006
Last updated
08/22/2020
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