MEDICARE: ADAM M LALONDE DDS, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	22834	TX

General Provider Information

NPI Number	:	1932413705
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAM M LALONDE DDS, PA

Provider Business Mailing Address
First Line	:	PO BOX 189
Second Line	:
City	:	LOS FRESNOS
State	:	TX
Zip	:	78566-0189
Country	:	US
Telephone Number	:	956-233-4400
Fax Number	:	956-233-5626

Provider Business Practice Location Address
First Line	:	810 W OCEAN BLVD STE C3
Second Line	:
City	:	LOS FRESNOS
State	:	TX
Zip	:	78566-3644
Country	:	US
Telephone Number	:	956-233-4400
Fax Number	:	956-233-5626

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ADAM M LALONDE
Credential	:	DDS
Telephone Number	:	956-233-4400

Provider Enumeration Date	:	08/03/2010
Last Update Date	:	08/03/2010

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