Organization
RALPH A. CREVOISIER D.D.S.,M.S.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH AARON CREVOISIER D.D.S.,M.S.D. (PRESIDENT)
(210) 494-4978
Entity
Organization
Contact information
Practice address
8110 WINDWAY DR, SAN ANTONIO, TX 78239-2433
(210) 653-9227
Mailing address
14107 COUNTRY VALE, SAN ANTONIO, TX 78216-2354
(210) 494-4978
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7663
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
515067495
—
TX
Enumeration date
05/30/2008
Last updated
05/30/2008
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