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Organization
MARBACH DENTAL AND BRACES PLLC
Active
Organization
MARBACH DENTAL AND BRACES PLLC
Active
Other names
Marbach Dental and Braces
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVE GOLDWYN JEQUINTO (REVENUE CYCLE MANGER)
(210) 674-4799
Entity
Organization
Contact information
Practice address
9107 MARBACH RD STE 103, SAN ANTONIO, TX 78245-1832
(210) 674-4799
Mailing address
9107 MARBACH RD STE 103, SAN ANTONIO, TX 78245-1832
(210) 674-4799
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
11/16/2021
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