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Individual

KALAN JOSEPH JUDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2940 STANLEY RD, SAN ANTONIO, TX 78234-2740
(917) 499-8493
Mailing address
2841 STANLEY RD, 2940 STANLEY RD, SAN ANTONIO, TX 78234
(210) 221-0855

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary

Other

Enumeration date
11/30/2017
Last updated
08/09/2023
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