| Jaroslav Dolezal D.d.s.,p.a. | |
|
215 E 1st St Alice TX 78332-4821 | |
| (361) 668-4208 | |
| (361) 668-1025 |
| Full Name | Jaroslav Dolezal D.d.s.,p.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 215 E 1st St, Alice, Texas |
| Authorized Official Name and Position | Jaroslav Dolezal (PRESIDENT) |
| Authorized Official Contact | 3616684208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaroslav Dolezal D.d.s.,p.a. 215 E 1st St Alice TX 78332-4821 Ph: (361) 668-4208 | Jaroslav Dolezal D.d.s.,p.a. 215 E 1st St Alice TX 78332-4821 Ph: (361) 668-4208 |
| NPI Number | 1457458655 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457458655 | NPI | - | NPPES |
| 866224 | Other | TX | UNITED CONCORDIA INS. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18057 (Texas) | Primary |
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