Individual
DR. CAM RIDDICK JANSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9820 BRAUN RD, SUITE 102, SAN ANTONIO, TX 78254
(210) 523-2400
(210) 523-2401
Mailing address
9820 BRAUN RD., SUITE 102, SAN ANTONIO, TX 78254
(210) 523-2400
(210) 523-2401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13898
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120845604
—
TX
Enumeration date
11/16/2007
Last updated
07/02/2009
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