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Organization
VALUDENTAL SAN PEDRO LLC
Active
Organization
VALUDENTAL SAN PEDRO LLC
Active
Other names
Celebrate Dental & Braces
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID FERGUSON DDS CAGS (MANAGER)
(210) 675-7000
Entity
Organization
Contact information
Practice address
6868 SAN PEDRO AVE, SAN ANTONIO, TX 78216-7201
(210) 683-6353
Mailing address
8700 MARBACH RD, SAN ANTONIO, TX 78227-2345
(210) 675-7000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
01/23/2020
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