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General NPI Number Information
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NPI Number | 1538533096
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Entity Type | Organization
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Legal Business Name | ALAMO DENTAL GROUP PLLC
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Dates
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Enumeration Date | 11/20/2015
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 1080 FM 3009
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City | SCHERTZ
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State | TX
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Zip | 78154-2726
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Country | US
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Telephone | 210-294-0794
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Fax |
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Provider Business Mailing Address
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Address Line | 14603 HUEBNER RD BLDG 38, STE 2
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City | SAN ANTONIO
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State | TX
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Zip | 78230-5469
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Country | US
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Telephone | 210-930-3100
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | BRANDON S MCGARRELL
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Credential | DMD
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Telephone | 210-314-2091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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