# ONE DESTINATION CLINIC SAN ANTONIO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ODC San Antonio
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710877006
- **Authorized official:** JOSEPH MILLER (DOCTOR)
- **Authorized official phone:** (858) 842-7011

## Contact information

- **Practice address:** 3402 S GEVERS ST, SAN ANTONIO, TX 78210-5414
- **Practice address phone:** (210) 533-6611
- **Mailing address:** 3402 S GEVERS ST, SAN ANTONIO, TX 78210-5414
- **Mailing address phone:** (210) 533-6611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/08/2025
- **Last updated:** 07/08/2025