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Organization
CRESTA BELLA DENTAL AND BRACES
Active
Organization
CRESTA BELLA DENTAL AND BRACES
Active
Other names
Cresta Bella Dental and Braces
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVE GOLDWYN JEQUINTO DDS (OWNER/DENTIST)
(210) 598-6002
Entity
Organization
Contact information
Practice address
19787 IH 10 W STE 204, SAN ANTONIO, TX 78257-1695
(210) 598-6002
Mailing address
19787 IH 10 W STE 204, SAN ANTONIO, TX 78257-1695
(210) 598-6002
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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