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Organization
NEW IMAGE DENTISRTY
Active
Organization
NEW IMAGE DENTISRTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAUDIA N KEROUAC (INSURANCE COORDINATOR)
(210) 804-1558
Entity
Organization
Contact information
Practice address
7902 JONES MATTSBERGER, SAN ANTONIO, TX 78216
(210) 804-1558
Mailing address
7902 JONES MATTSBERGER, SAN ANTONIO, TX 78216
(210) 804-1558
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16195
TX
122300000X
Dentist
27962
TX
Other
Enumeration date
07/03/2014
Last updated
05/29/2015
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