Organization
ALLIGATOR DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED BURNS (OWNER)
(830) 491-4105
Entity
Organization
Contact information
Practice address
1309 MEDICAL PARKWAY, SAN MARCOS, TX 78666-9998
(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
1223P0221X
Pediatric Dentistry
28408
TX
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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