Organization
G. BETANCOURT DDS PLLC
Active
Other names
Countryside Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO BETANCOURT MARTINEZ DDS (OWNER DENTIST)
(830) 426-3304
Entity
Organization
Contact information
Practice address
501 20TH ST, HONDO, TX 78861-2507
(830) 426-3304
Mailing address
501 20TH ST, HONDO, TX 78861-2507
(830) 426-3304
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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