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Individual

DR. CODY JOEL PEWARCHUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 450-3700
Mailing address
13135 SHORELINE DR, SAN ANTONIO, TX 78254-6325
(210) 793-2608

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00206141
CO
122300000X
Dentist
ETN1084
TX

Other

Enumeration date
10/22/2024
Last updated
10/22/2024
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