Organization
CANYON GOLF FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN E SOTO DD.S. (GENERAL DENTIST)
(210) 787-2062
Entity
Organization
Contact information
Practice address
20210 STONE OAK PKWY, 209, SAN ANTONIO, TX 78258
(210) 787-2062
Mailing address
20210 STONE OAK PKWY, TBD, SAN ANTONIO, TX 78258
(210) 787-2062
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/02/2013
Last updated
03/13/2014
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