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Organization
THE ORIGINAL BULVERDE DENTAL OFFICE, PA
Active
Organization
THE ORIGINAL BULVERDE DENTAL OFFICE, PA
Active
Other names
Bulverde Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAREY SNIDER (OFFICE ASSISTANT)
(830) 980-2869
Entity
Organization
Contact information
Practice address
2395 BULVERDE RD, #103, BULVERDE, TX 78163
(830) 980-2869
(830) 438-3363
Mailing address
2395 BULVERDE RD, #103, BULVERDE, TX 78163
(830) 980-2869
(830) 438-3363
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20998
TX
Other
Enumeration date
11/27/2006
Last updated
11/09/2009
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