Organization
FULL SMILE DENTAL BRUSH COUNTRY ORTHODONTICS, PLLC
Active
Organization
FULL SMILE DENTAL BRUSH COUNTRY ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GRAVES DMD (OWNER)
(210) 543-8000
Entity
Organization
Contact information
Practice address
800 N BRYANT ST, PLEASANTON, TX 78064-2550
(210) 610-0117
Mailing address
11330 POTRANCO RD, SAN ANTONIO, TX 78253-7281
(806) 353-1055
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
04/18/2023
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