Organization
SISTER CREEK DENTAL PLLC
Active
Organization
SISTER CREEK DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ADAMITZ (OFFICE MANAGER)
(830) 391-8200
Entity
Organization
Contact information
Practice address
1605 US HIGHWAY 181S, FLORESVILLE, TX 78114
(830) 391-8200
(830) 391-8201
Mailing address
1605 S. HWY 181, FLORESVILLE, TX 78114
(830) 391-8200
(830) 391-8201
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
29845
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
31728
TX
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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