Organization
COMPLETE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL S DAVIS D.D.S (OWNER)
(210) 432-7851
Entity
Organization
Contact information
Practice address
1302 S GEN MCMULLEN DR, SUITE 102, SAN ANTONIO, TX 78237-4200
(210) 432-7851
Mailing address
1302 S GEN MCMULLEN DR, SUITE 102, SAN ANTONIO, TX 78237-4200
(210) 432-7851
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27038
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27033
LICENSE
TX
Enumeration date
02/04/2014
Last updated
02/04/2014
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