# JWCM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hill Country Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235393596
- **Authorized official:** DR. JULIE KRISTINE WALTRIP DDS (PRESIDENT/DENTIST)
- **Authorized official phone:** (830) 755-6475

## Contact information

- **Practice address:** 30875 INTERSTATE 10 W, SUITE B, BOERNE, TX 78006-9252
- **Practice address phone:** (830) 755-6475
- **Mailing address:** 30875 INTERSTATE 10 W, SUITE B, BOERNE, TX 78006-9252
- **Mailing address phone:** (830) 755-6475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 19475 | TX | Yes |
| 261QD0000X | Dental Clinic/Center | 19842 | TX | — |

## Other

- **Enumeration date:** 07/16/2008
- **Last updated:** 07/16/2008