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Organization
NAUTICAL DENTAL
Active
Organization
NAUTICAL DENTAL
Active
Parent organization
ERIC D. CORNELIUS DDS PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ERIC D. CORNELIUS DDS PA
Authorized official
DR. ERIC CORNELIUS DDS (OWNER/DENTIST)
(541) 671-0265
Entity
Organization
Contact information
Practice address
16414 SAN PEDRO AVE, SUITE 200, SAN ANTONIO, TX 78232-2277
(210) 499-0009
(210) 499-0003
Mailing address
16414 SAN PEDRO AVE, SUITE 200, SAN ANTONIO, TX 78232-2277
(210) 499-0009
(210) 499-0003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28732
TX
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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