# ALAMO HEIGHTS DENTAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467968479
- **Authorized official:** DR. JOHN MCCULLOUGH DEKOCH DDS (MANAGER)
- **Authorized official phone:** (210) 824-3243

## Contact information

- **Practice address:** 110 CHICHESTER PL \# 200, SAN ANTONIO, TX 78209-5306
- **Practice address phone:** (210) 824-3243
- **Mailing address:** 110 CHICHESTER PL \# 200, SAN ANTONIO, TX 78209-5306
- **Mailing address phone:** (210) 824-3243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 24684 | TX | Yes |

## Other

- **Enumeration date:** 12/28/2017
- **Last updated:** 12/28/2017