Organization
ALANIS DENTAL CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IRENE SUZANNE ALANIS (OFFICE MANAGER)
(956) 787-3317
Entity
Organization
Contact information
Practice address
109 S 6TH ST, ALAMO, TX 78516-2541
(956) 787-3317
(956) 787-0069
Mailing address
109 S 6TH ST, ALAMO, TX 78516-2541
(956) 787-3317
(956) 787-0069
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111159301
—
TX
01
—
G60172-01
CHIP
TX
Enumeration date
05/22/2008
Last updated
05/22/2008
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