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Individual

MR. BILLY EUGENE KINNAMAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3145 GARDEN AVE, SAN ANTONIO, TX 78234-7718
(210) 598-9180
Mailing address
4070 STANLEY RD, SAN ANTONIO, TX 78234-2714
(210) 589-9180

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary

Other

Enumeration date
02/12/2024
Last updated
02/12/2024
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