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Organization

ALIGN DENTAL SPECIALTIES PLLC

Active
Other names
Align Dental Specialties
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DAVE GOLDWYN JEQUINTO DDS (OWNER/DOCTOR)
(210) 944-0504
Entity
Organization

Contact information

Practice address
12014 HUEBNER ROAD, SUITE 102, SAN ANTONIO, TX 78230
(210) 797-5418
Mailing address
12014 HUEBNER ROAD, SUITE 102, SAN ANTONIO, TX 78230

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
1223G0001X
General Practice Dentistry
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
09/08/2021
Last updated
11/16/2021
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