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Organization

TEXAN SMILE DENTISTRY 3 PC

Active
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Organization

TEXAN SMILE DENTISTRY 3 PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BERTHA ELIZABETH RODRIGUEZ (REGIONAL MANAGER)
(210) 681-4867
Entity
Organization

Contact information

Practice address
5983 BANDERA RD., SAN ANTONIO, TX 78238
(210) 681-4867
(210) 681-3831
Mailing address
5983 BANDERA RD., SAN ANTONIO, TX 78238
(210) 681-4867
(210) 681-3831

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15889
TX

Other

Enumeration date
10/06/2010
Last updated
10/14/2010
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