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Organization

ALVIN DENTAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAYMOND B FOURNIER DDS (OWNER)
(281) 331-0020
Entity
Organization

Contact information

Practice address
1701 FAIRWAY DR STE 20, ALVIN, TX 77511-4678
(281) 331-0020
(281) 585-0505
Mailing address
1701 FAIRWAY DR STE 20, ALVIN, TX 77511-4678
(281) 331-0020
(281) 585-0505

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12779
TX
1223G0001X
General Practice Dentistry
15400
TX

Other

Enumeration date
01/13/2011
Last updated
01/13/2011
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