Organization
ALLIGATOR DENTAL
Active
Parent organization
ALLIGATOR DENTAL, PLLC
Other names
Alligator Dental Gonzalez
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLIGATOR DENTAL, PLLC
Authorized official
ALFRED BURNS (OWNER)
(830) 372-3725
Entity
Organization
Contact information
Practice address
508 SAINT MATTHEW ST, GONZALES, TX 78629-4040
(830) 383-9300
Mailing address
901 S HIGHWAY 123 BYP, SEGUIN, TX 78155-9719
(830) 383-9300
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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