# POTRANCO DENTAL AND BRACES PLLC

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

## Provider details

- **NPI number:** 1730844770
- **Authorized official:** DR. DAVE GOLDWYN JEQUINTO DDS (OWNER/DOCTOR)
- **Authorized official phone:** (210) 585-4123

## Contact information

- **Practice address:** 8610 POTRANCO RD STE 210, SAN ANTONIO, TX 78251-3034
- **Practice address phone:** (210) 568-9800
- **Mailing address:** 8610 POTRANCO RD STE 210, SAN ANTONIO, TX 78251-3034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/04/2021
- **Last updated:** 12/29/2021