Organization
CAMPOS FAMILY DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER S. CAMPOS D.D.S. (PRESIDENT)
(210) 523-6188
Entity
Organization
Contact information
Practice address
6140 WURZBACH ROAD, SAN ANTONIO, TX 78238
(210) 523-6188
Mailing address
6140 WURZBACH ROAD, SAN ANTONIO, TX 78238
(210) 523-6188
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16042
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173412101
—
TX
Enumeration date
11/06/2009
Last updated
04/23/2013
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