Individual
DR. DAVE GOLDWYN JEQUINTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12055 VANCE JACKSON RD, SUITE 103, SAN ANTONIO, TX 78230-6058
(210) 568-9800
Mailing address
12055 VANCE JACKSON RD, SUITE 103, SAN ANTONIO, TX 78230-6058
(210) 568-9800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29406
TX
1223G0001X
General Practice Dentistry
59173
CA
Other
Enumeration date
04/08/2010
Last updated
07/13/2016
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