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Organization
VALUDENTAL PLLC
Active
Organization
VALUDENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BURTON FERGUSON (PRESIDENT)
(904) 994-0410
Entity
Organization
Contact information
Practice address
8700 MARBACH RD, SAN ANTONIO, TX 78227-2345
(904) 994-0410
Mailing address
8700 MARBACH RD, SAN ANTONIO, TX 78227-2345
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24904
TX
1223G0001X
General Practice Dentistry
24904
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
24904
TX
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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