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Organization

CASSANDRA ELKINS DDS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CASSANDRA J ELKINS DDS (DENTIST)
(210) 268-0414
Entity
Organization

Contact information

Practice address
9543 HUEBNER RD, SAN ANTONIO, TX 78240-1510
(210) 268-0414
(210) 694-5066
Mailing address
18330 GRAN MESA, SAN ANTONIO, TX 78259-2436
(210) 289-8621
(210) 694-5066

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
368080302
TX
Enumeration date
11/12/2018
Last updated
11/12/2018
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