Organization
ROBERT B. ALSTON, JR. D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT B ALSTON JR. D.D.S. (OWNER/DENTIST)
(254) 666-1366
Entity
Organization
Contact information
Practice address
211 SUN VALLEY BLVD, HEWITT, TX 76643-3571
(254) 666-1366
(254) 666-4766
Mailing address
PO BOX 428, HEWITT, TX 76643-0428
(254) 666-1366
(254) 666-4766
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
TX14148
TX
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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