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1649247123
ALAN CONRAD DICKERSON
JBSA LACKLAND, TX
NPI
1649247123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: LA 4330)
Enumeration Date
2006-03-03
Last Update Date
2020-12-29
Business Address
Dr. ALAN CONRAD DICKERSON D.D.S.
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-0672
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Mailing Address
Dr. ALAN CONRAD DICKERSON D.D.S.
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-0672
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