Organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Active
Parent organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Other names
W Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Authorized official
CASSANDRA PETERSEN (CREDENTIALING TEAM LEAD)
(217) 540-8972
Entity
Organization
Contact information
Practice address
7614 CULEBRA RD STE 103, SAN ANTONIO, TX 78251-1477
(210) 523-0000
(210) 523-9967
Mailing address
7614 CULEBRA RD STE 103, SAN ANTONIO, TX 78251-1477
(210) 523-0000
(210) 523-0067
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12519
TX
Other
Enumeration date
02/27/2008
Last updated
09/27/2018
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