Organization
ALLIGATOR DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED BURNS D.D.S (OWNER)
(830) 491-4105
Entity
Organization
Contact information
Practice address
1309 MEDICAL PARKWAY, SAN MARCOS, TX 78666-9997
(830) 372-5101
Mailing address
PO BOX 540, SEGUIN, TX 78156-0540
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
24186
TX
1223P0221X
Pediatric Dentistry
25104
TX
1223P0221X
Pediatric Dentistry
28331
TX
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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