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Organization
TX SOUTHERN DENTAL PPO PC
Active
Organization
TX SOUTHERN DENTAL PPO PC
Active
Parent organization
TX SOUTHERN DENTAL PPO PC
Other names
William J Cruse DDS
Organization subpart
Yes
Provider details
NPI number
Legal business name
TX SOUTHERN DENTAL PPO PC
Authorized official
CHRISTINE NELSON (VP, REVENUE CYCLE)
(469) 450-6482
Entity
Organization
Contact information
Practice address
18518 HARDY OAK BLVD STE 200, SAN ANTONIO, TX 78258-4761
(210) 496-7000
Mailing address
5830 GRANITE PKWY STE 780, PLANO, TX 75024-6775
(469) 450-6482
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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