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Organization
SAN PEDRO DENTAL ASSOCIATES, PC
Active
Organization
SAN PEDRO DENTAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDIE DUTTON (ADMINISTRATIVE ASSISTANT)
(830) 981-9193
Entity
Organization
Contact information
Practice address
16414 SAN PEDRO AVE, #200, SAN ANTONIO, TX 78232-2277
(210) 499-0009
(210) 499-0002
Mailing address
16414 SAN PEDRO AVE, #200, SAN ANTONIO, TX 78232-2277
(210) 499-0009
(210) 499-0002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17072
TX
Other
Enumeration date
05/29/2007
Last updated
02/26/2009
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