Organization
CELEBRACES SAN PEDRO LLC
Active
Other names
Celebrate Dental & Braces
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FERGUSON DDS CAGS (MANAGER)
(210) 675-7000
Entity
Organization
Contact information
Practice address
6868 SAN PEDRO AVE, SAN ANTONIO, TX 78216-7201
(210) 675-7000
Mailing address
6868 SAN PEDRO AVE, SAN ANTONIO, TX 78216-7201
(210) 675-7000
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
01/23/2020
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