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Organization

ALAMO RANCH 7TO7 PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREA CAROLINA VILLARREAL (CREDENTIALING MANAGER)
(210) 495-2000
Entity
Organization

Contact information

Practice address
11841 ALAMO RANCH PKWY STE 106, SAN ANTONIO, TX 78253-4185
(210) 495-2000
(210) 495-2001
Mailing address
PO BOX 461649, SAN ANTONIO, TX 78246-1649
(210) 495-2000
(210) 495-2001

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
08/11/2021
Last updated
08/11/2021
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