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Organization
SAN ANTONIO DENTAL ASSOCIATES
Active
Organization
SAN ANTONIO DENTAL ASSOCIATES
Active
Other names
Elizabeth Maryll Farrimond DDS PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH MARYLL FARRIMOND DDS (OWNER)
(210) 690-4500
Entity
Organization
Contact information
Practice address
6253 VANCE JACKSON RD, SAN ANTONIO, TX 78230-3347
(210) 690-4500
(210) 690-5835
Mailing address
6253 VANCE JACKSON RD, SAN ANTONIO, TX 78230-3347
(210) 690-4500
(210) 690-5835
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18998
TX
1223G0001X
General Practice Dentistry
22772
TX
1223G0001X
General Practice Dentistry
7686
TX
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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