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Individual

BRENT COLE SUGG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
4812 WEST AVE, SAN ANTONIO, TX 78213-2737
(210) 977-0321
Mailing address
8714 ESTONIAN TRCE, SAN ANTONIO, TX 78251-2157
(806) 544-3226

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35238
TX

Other

Enumeration date
06/23/2019
Last updated
06/23/2019
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