Individual
DR. ADAM MUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1100 WILFORD HALL LOOP, JBSA LACKLAND AFB, TX 78236
(929) 335-4123
Mailing address
1615 TRUEMPER ST, SAN ANTONIO, TX 78236-5511
(210) 292-0123
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40797
TX
Other
Enumeration date
03/06/2023
Last updated
08/08/2024
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