Individual
DR. ALEX EDGERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3140 CENTRAL MALL DR, PORT ARTHUR, TX 77642-8039
(409) 727-2164
Mailing address
3140 CENTRAL MALL DR, PORT ARTHUR, TX 77642-8039
(409) 727-2164
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32908
TX
Other
Enumeration date
06/12/2017
Last updated
07/21/2022
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