Organization
ALAMO HEIGHTS DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MCCULLOUGH DEKOCH DDS (MANAGER)
(210) 824-3243
Entity
Organization
Contact information
Practice address
110 CHICHESTER PL # 200, SAN ANTONIO, TX 78209-5306
(210) 824-3243
Mailing address
110 CHICHESTER PL # 200, SAN ANTONIO, TX 78209-5306
(210) 824-3243
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24684
TX
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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