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Organization

FULL SMILE HELOTES ORTHODONTICS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER WILLIAMS (CREDENTIALING MANAGER)
(806) 353-1055
Entity
Organization

Contact information

Practice address
11868 BANDERA RD, HELOTES, TX 78023-4132
(210) 695-1738
(210) 695-1736
Mailing address
11330 POTRANCO RD STE 105, SAN ANTONIO, TX 78253-7282
(210) 695-1738
(210) 695-1736

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
10/31/2023
Last updated
10/31/2023
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