Individual
DR. ALAN IGLESIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
23896 LOOP 494, PORTER, TX 77365-4924
(281) 354-5482
(281) 354-6146
Mailing address
23896 LOOP 494, PORTER, TX 77365-4924
(281) 354-5482
(281) 354-6146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17987
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1350690503
—
TX
Enumeration date
01/30/2007
Last updated
07/09/2007
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