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Organization
JOHN A. BERCHELMANN JR., DDS
Active
Organization
JOHN A. BERCHELMANN JR., DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ANTHONY BERCHELMANN JR. DDS (OWNER)
(210) 534-8051
Entity
Organization
Contact information
Practice address
608 FAIR AVE, SAN ANTONIO, TX 78223-1304
(210) 534-8051
(210) 532-2761
Mailing address
608 FAIR AVE, SAN ANTONIO, TX 78223-1304
(210) 534-8051
(210) 532-2761
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
B12916
TX
1223G0001X
General Practice Dentistry
Primary
B16811
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1458259-01
—
TX
Enumeration date
01/02/2013
Last updated
01/02/2013
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