# SAN ANTONIO ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, P.A.

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

## Provider details

- **NPI number:** 1700017688
- **Authorized official:** DR. JAMES B MAZOCK D.D.S. (CO-OWNER)
- **Authorized official phone:** (830) 538-9800

## Contact information

- **Practice address:** 1014 PARIS ST STE A, CASTROVILLE, TX 78009-2956
- **Practice address phone:** (830) 538-9800
- **Practice address fax:** (830) 538-9801
- **Mailing address:** 1014 PARIS ST STE A, CASTROVILLE, TX 78009-2956
- **Mailing address phone:** (830) 538-9800
- **Mailing address fax:** (830) 538-9801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2009
- **Last updated:** 06/15/2022
