Organization
FULL SMILE ORAL SURGERY OF ALAMO RANCH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WILLIAMS (CONTRACTING MANAGER)
(210) 695-5004
Entity
Organization
Contact information
Practice address
11919 CULEBRA RD STE 205, SAN ANTONIO, TX 78253-2129
(210) 695-5004
Mailing address
11919 CULEBRA RD STE 205, SAN ANTONIO, TX 78253-2129
(210) 695-5004
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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