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Organization
LOST CREEK DENTAL
Active
Organization
LOST CREEK DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA CARSON (OFFICE MANAGER)
(210) 688-0332
Entity
Organization
Contact information
Practice address
11919 CULEBRA RD, BLDG 2, SAN ANTONIO, TX 78253
(210) 688-0332
(210) 688-0333
Mailing address
11919 CULEBRA RD., BLDG 2, SAN ANTONIO, TX 78253
(210) 688-0332
(210) 688-0333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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