Organization
FULL SMILE DENTAL BOERNE ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WILLIAMS DO (DIRECTOR OF OPERATIONS)
(806) 353-1055
Entity
Organization
Contact information
Practice address
11330 POTRANCO RD STE 105, SAN ANTONIO, TX 78253-7282
(210) 543-8000
Mailing address
11330 POTRANCO RD STE 105, SAN ANTONIO, TX 78253-7282
(210) 543-8000
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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