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Individual

DR. JOSHUA MATTHEW HETHCOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2450 PEPPERRELL STREET, LACKLAND AFB, TX 78236
(210) 292-3894
(210) 292-5193
Mailing address
11823 STANTON DRIVE, SAN ANTONIO, TX 78253
(210) 679-6604

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7990
TN

Other

Enumeration date
05/02/2007
Last updated
07/08/2007
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