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Organization
VALUDENTAL 2 PLLC
Active
Organization
VALUDENTAL 2 PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BURTON FERGUSON DDS (MANAGING MEMBER)
(210) 675-7000
Entity
Organization
Contact information
Practice address
6810 BANDERA RD STE 2, SAN ANTONIO, TX 78238-1358
(210) 675-7000
Mailing address
8700 MARBACH RD, SAN ANTONIO, TX 78227-2345
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24904
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
24904
TX
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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