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Organization
GREAT OAKS DENTISTRY PA
Active
Organization
GREAT OAKS DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARSHALL K WARREN DDS (OWNER PRESIDENT)
(830) 625-2583
Entity
Organization
Contact information
Practice address
1532 N WALNUT AVE, NEW BRUNSFELS, TX 78130
(830) 625-2583
Mailing address
1532 N WALNUT AVE, NEW BRUNSFELS, TX 78130
(830) 625-2583
(830) 625-8299
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15682
TX
Other
Enumeration date
08/24/2006
Last updated
03/31/2021
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