| Alligator Dental Cibolo, Pllc | |
|
112 Gulf Street Cibolo TX 78108 | |
| (830) 491-4105 | |
| Not Available |
| Full Name | Alligator Dental Cibolo, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 112 Gulf Street, Cibolo, Texas |
| Authorized Official Name and Position | Alfred M Burns (DOCTOR/OWNER) |
| Authorized Official Contact | 8304914105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alligator Dental Cibolo, Pllc 808 E Pine Street Seguin TX 78155 Ph: (830) 491-4105 | Alligator Dental Cibolo, Pllc 112 Gulf Street Cibolo TX 78108 Ph: (830) 491-4105 |
| NPI Number | 1780120964 |
|---|---|
| Provider Enumeration Date | 01/12/2017 |
| Last Update Date | 01/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780120964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 24186 (Texas) | Primary |
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