Individual
ALIX LEA GRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
534 10TH ST, FLORESVILLE, TX 78114-3199
(832) 217-0380
Mailing address
729 E WOODLAWN AVE, SAN ANTONIO, TX 78212-3136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33051
TX
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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