Organization
CRESTA BELLA DENTAL AND BRACES
Active
Other names
Cresta Bella Dental and Braces
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVE GOLDWYN JEQUINTO DDS (OWNER/DENTIST)
(210) 598-6002
Entity
Organization
Contact information
Practice address
19787 IH 10 W STE 204, SAN ANTONIO, TX 78257-1695
(210) 598-6002
Mailing address
19787 IH 10 W STE 204, SAN ANTONIO, TX 78257-1695
(210) 598-6002
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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