Organization
TX SDS III, LLC
Active
Parent organization
TX SDS III, LLC
Other names
210 Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
TX SDS III, LLC
Authorized official
CHARLOTTE V DASCH (DIREC OF CRED AND PROV REL)
(504) 638-0303
Entity
Organization
Contact information
Practice address
1130 E SONTERRA BLVD STE 100, SAN ANTONIO, TX 78258-4236
(210) 824-6688
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
12/02/2024
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