Individual
DR. CAROL ANNE FORDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10007 HUEBNER RD STE 103D, SAN ANTONIO, TX 78240-1646
(210) 941-3191
Mailing address
5111 TIMBER TERRACE ST, SAN ANTONIO, TX 78250-4309
(956) 832-4670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38964
TX
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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