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Organization
CAROUSEL DENTAL PA
Active
Organization
CAROUSEL DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE MICHAEL KRAL (PRESIDENT)
(210) 824-0152
Entity
Organization
Contact information
Practice address
1844 NACOGDOCHES ROAD, SAN ANTONIO, TX 78209-2216
(210) 824-0152
Mailing address
1844 NACOGDOCHES ROAD, SAN ANTONIO, TX 78209-2216
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
15729
TX
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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