Organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Active
Parent organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Other names
Camino Real Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Authorized official
CASSANDRA TEUTSCH (CREDENTIALING COORDINATOR)
(217) 540-8972
Entity
Organization
Contact information
Practice address
14855 BLANCO RD, STE 216, SAN ANTONIO, TX 78216-7732
(210) 492-3003
Mailing address
14855 BLANCO RD, STE 216, SAN ANTONIO, TX 78216-7732
(210) 492-3003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/25/2016
Last updated
11/25/2016
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