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Organization
FULL SMILE DENTAL BOERNE ORTHODONTICS, PLLC
Active
Organization
FULL SMILE DENTAL BOERNE ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WILLIAMS DO (DIRECTOR OF OPERATIONS)
(806) 353-1055
Entity
Organization
Contact information
Practice address
11330 POTRANCO RD STE 105, SAN ANTONIO, TX 78253-7282
(210) 543-8000
Mailing address
11330 POTRANCO RD STE 105, SAN ANTONIO, TX 78253-7282
(210) 543-8000
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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