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Organization
JOHN R KELLOGG, DDS
Active
Organization
JOHN R KELLOGG, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RICHARD KELLOGG DDS (PRESIDENT)
(210) 824-0203
Entity
Organization
Contact information
Practice address
935 EVENTIDE DR, SAN ANTONIO, TX 78209-5559
(210) 824-8283
Mailing address
935 EVENTIDE DR, SAN ANTONIO, TX 78209-5559
(210) 824-8283
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12028
TX
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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