Individual
DR. DAVID TERRY ENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2748 WORTH RD STE 4, USA DENTAL COMMAND, SAN ANTONIO, TX 78234-6033
(210) 221-8241
Mailing address
2748 WORTH RD STE 4, USA DENTAL COMMAND, SAN ANTONIO, TX 78234-6033
(210) 221-8241
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN014459
GA
1223G0001X
General Practice Dentistry
DN014459
GA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN014459
GA
Other
Enumeration date
08/06/2012
Last updated
06/03/2016
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