# WILDERNSS OAK FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DANIEL E. ESTRELLA DDS PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518233733
- **Legal business name:** DANIEL E. ESTRELLA DDS PA
- **Authorized official:** DR. DANIEL E ESTRELLA DDS (OWNER)
- **Authorized official phone:** (210) 298-0800

## Contact information

- **Practice address:** 20711 WILDERNESS OAK, SUITE \#104, SAN ANTONIO, TX 78258-2640
- **Practice address phone:** (210) 298-0800
- **Practice address fax:** (210) 298-0801
- **Mailing address:** 20711 WILDERNESS OAK, SUITE \#104, SAN ANTONIO, TX 78258-2640
- **Mailing address phone:** (210) 298-0800
- **Mailing address fax:** (210) 298-0801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 23980 | TX | Yes |

## Other

- **Enumeration date:** 04/02/2012
- **Last updated:** 04/02/2012