Individual
DR. RALPH A. CREVOISIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
8110 WINDWAY DR, WINDCREST, TX 78239-2433
(210) 653-9227
Mailing address
14107 COUNTRY VALE, SAN ANTONIO, TX 78216-2354
(210) 464-4678
(210) 495-4411
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7663
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7663
TEXAS LICENSE 7663
—
Enumeration date
08/21/2006
Last updated
05/01/2012
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