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Organization
INGRAM MALL FDCPA
Active
Organization
INGRAM MALL FDCPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNDEE CASTILLO (OFFICE MANAGER)
(210) 354-4867
Entity
Organization
Contact information
Practice address
6301 NW LOOP 410 STE L1A, SAN ANTONIO, TX 78238-3829
(210) 354-4867
(210) 681-6985
Mailing address
6301 NW LOOP 410 STE L1A, SAN ANTONIO, TX 78238-3829
(210) 354-4867
(210) 681-6985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
TX
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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