Organization
6 TO 9 DENTAL TEXAS,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGINIA POTTER HUMPHREY THOMAS DDS (MANAGER)
(210) 333-6911
Entity
Organization
Contact information
Practice address
2603 SE MILITARY DRIVE, 103, SAN ANTONIO, TX 78223
(210) 333-6911
Mailing address
2603 SE MILITARY DRIVE, 103, SAN ANTONIO, TX 78223
(210) 333-6911
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25974
TX
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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