Organization
POTRANCO DENTAL AND BRACES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVE GOLDWYN JEQUINTO DDS (OWNER/DOCTOR)
(210) 585-4123
Entity
Organization
Contact information
Practice address
8610 POTRANCO RD STE 210, SAN ANTONIO, TX 78251-3034
(210) 568-9800
Mailing address
8610 POTRANCO RD STE 210, SAN ANTONIO, TX 78251-3034
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2021
Last updated
12/29/2021
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