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Organization

FULL SMILE WESTOVER HILLS PEDIATRIC DENTISTRY, PLLC

Active
Organization subpart
No

Provider details

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

Contact information

Practice address
9514 POTRANCO RD, SAN ANTONIO, TX 78251-9601
(210) 680-8080
(210) 680-3140
Mailing address
9514 POTRANCO RD, SAN ANTONIO, TX 78251-9601
(210) 680-8080
(210) 680-3140

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

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