Organization
WILDERNSS OAK FAMILY DENTISTRY
Active
Parent organization
DANIEL E. ESTRELLA DDS PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
DANIEL E. ESTRELLA DDS PA
Authorized official
DR. DANIEL E ESTRELLA DDS (OWNER)
(210) 298-0800
Entity
Organization
Contact information
Practice address
20711 WILDERNESS OAK, SUITE #104, SAN ANTONIO, TX 78258-2640
(210) 298-0800
(210) 298-0801
Mailing address
20711 WILDERNESS OAK, SUITE #104, SAN ANTONIO, TX 78258-2640
(210) 298-0800
(210) 298-0801
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
23980
TX
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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