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Organization
MY HOMETOWN DENTIST
Active
Organization
MY HOMETOWN DENTIST
Active
Parent organization
MY HOMETOWN DENTIST AT LEON SPRINGS
Other names
My Hometown Dentist at Leon Springs
Organization subpart
Yes
Provider details
NPI number
Legal business name
MY HOMETOWN DENTIST AT LEON SPRINGS
Authorized official
DR. PAUL CHRISTOPHER BAYS DDS (PRESIDENT/OWNER)
(808) 640-8470
Entity
Organization
Contact information
Practice address
24200 W INTERSTATE 10 STE 112, SAN ANTONIO, TX 78257-1150
(210) 687-1133
Mailing address
24200 W INTERSTATE 10 STE 112, SAN ANTONIO, TX 78257-1150
(210) 687-1133
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
261QD0000X
Dental Clinic/Center
23202
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629284724
DENTIST
TX
Enumeration date
10/23/2017
Last updated
04/29/2022
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