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Individual

ADAM IRVINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
11018 ALBURY PARK LN, TOMBALL, TX 77375-7060
(281) 687-2628
Mailing address
11018 ALBURY PARK LN, TOMBALL, TX 77375-7060

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0001
ZZ

Other

Enumeration date
04/26/2012
Last updated
04/26/2012
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