Individual
DR. RAYMOND HARVEY HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC), LACKLAND A F B, TX 78236-9908
(210) 292-6365
(210) 292-3338
Mailing address
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC), LACKLAND A F B, TX 78236-9908
(210) 292-6365
(210) 292-3338
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
18460
TX
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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