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Organization
WEST CULEBRA DENTAL PLLC
Active
Organization
WEST CULEBRA DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARREN EARL BOGGS (CHIEF OPERATING OFFICER)
(940) 368-1495
Entity
Organization
Contact information
Practice address
5835 CULEBRA RD, SUITE 105, SAN ANTONIO, TX 78228-4354
(940) 368-1495
Mailing address
1308 TEASLEY LN, DENTON, TX 76205-7946
(254) 717-8469
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26562
TX
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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