# SW MILITARY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SUNRISE FAMILY DENTAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457825937
- **Authorized official:** DR. CAM R JANSE DDS (DENTIST/OWNER)
- **Authorized official phone:** (210) 923-8066

## Contact information

- **Practice address:** 1402 SW MILITARY DR, SAN ANTONIO, TX 78221-1556
- **Practice address phone:** (210) 923-8066
- **Practice address fax:** (210) 923-8554
- **Mailing address:** 1402 SW MILITARY DR, SAN ANTONIO, TX 78221-1556
- **Mailing address phone:** (210) 923-8066
- **Mailing address fax:** (210) 923-8554

## Taxonomy

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

## Other

- **Enumeration date:** 01/17/2019
- **Last updated:** 01/17/2019