Organization
FULL SMILE OAKWELL FARMS ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WILLIAMS (CREDENTIALING MANAGER)
(806) 353-1055
Entity
Organization
Contact information
Practice address
1919 OAKWELL FARMS PKWY STE 240, SAN ANTONIO, TX 78218-1779
(210) 828-6787
(210) 824-2652
Mailing address
11330 POTRANCO RD STE 105, SAN ANTONIO, TX 78253-7282
(210) 828-6787
(210) 824-2652
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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