Organization
CELEBRACES COMMERCE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID B FERGUSON CAGS (OWNER)
(210) 683-6353
Entity
Organization
Contact information
Practice address
4965 W COMMERCE ST, SAN ANTONIO, TX 78237-1508
(210) 451-0000
Mailing address
4965 W COMMERCE ST, SAN ANTONIO, TX 78237-1508
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
24904
TX
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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