Organization
EMERGENCY DENTIST OF SAN ANTONIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMIT GOGNA DMD (OWNER)
(210) 807-8205
Entity
Organization
Contact information
Practice address
3414 ROOSEVELT AVE, SAN ANTONIO, TX 78214-2606
(210) 807-7205
Mailing address
3414 ROOSEVELT AVE, SAN ANTONIO, TX 78214-2606
(108) 077-2052
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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