Individual
DR. ALAN CONRAD DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-0672
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-0672
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4330
LA
Other
Enumeration date
03/03/2006
Last updated
12/29/2020
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