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Organization

FIVE STAR FAMILY DENTAL, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROGER BRANDON JR. DDS (OWNER)
(210) 455-1110
Entity
Organization

Contact information

Practice address
12991 POTRANCO RD STE 107, SAN ANTONIO, TX 78253-7105
(210) 455-1110
Mailing address
12991 POTRANCO RD STE 107, SAN ANTONIO, TX 78253-7105
(210) 455-1110

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
10/28/2020
Last updated
11/06/2020
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