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Organization
FULL SMILE ORAL SURGERY OF ALAMO RANCH, PLLC
Active
Organization
FULL SMILE ORAL SURGERY OF ALAMO RANCH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WILLIAMS (CONTRACTING MANAGER)
(210) 695-5004
Entity
Organization
Contact information
Practice address
11919 CULEBRA RD STE 205, SAN ANTONIO, TX 78253-2129
(210) 695-5004
Mailing address
11919 CULEBRA RD STE 205, SAN ANTONIO, TX 78253-2129
(210) 695-5004
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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