Individual
KURT M MCEUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5542 WALZEM RD, WINDCREST, TX 78218-2103
(210) 922-7000
(210) 637-2484
Mailing address
3750 COMMERCIAL AVE, SAN ANTONIO, TX 78221-3117
(210) 922-7000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31756
TX
122300000X
Dentist
53489259921
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355998101
—
TX
Enumeration date
07/27/2015
Last updated
05/09/2016
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