Organization
ALLIGATOR DENTAL CIBOLO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED M BURNS DDS (DOCTOR/OWNER)
(830) 491-4105
Entity
Organization
Contact information
Practice address
112 GULF STREET, CIBOLO, TX 78108
(830) 491-4105
Mailing address
808 E PINE STREET, SEGUIN, TX 78155
(830) 491-4105
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
24186
TX
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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