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Organization
NAUTICAL DENTAL
Active
Organization
NAUTICAL DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLORES FALES R.D.H. (OFFICE MANAGER)
(210) 499-0009
Entity
Organization
Contact information
Practice address
16414 SAN PEDRO AVE, STE 200, SAN ANTONIO, TX 78232-2277
(210) 499-0009
(210) 499-0002
Mailing address
16414 SAN PEDRO AVE, STE 200, SAN ANTONIO, TX 78232-2277
(210) 499-0009
(210) 499-0002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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