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COSMETIC DENTISTRY OF SAN ANTONIO

Dental Public Health

San Antonio, Texas

Provider NPI: 1487174280

Organization Information:
Organization Name:  COSMETIC DENTISTRY OF SAN ANTONIO
Organization is not Subpart
Authorized Official:  ASHLEY J GONZALEZ  ADMINISTRATIVE ASSISTANT  210-4939944

Practice Location:
16535 HUEBNER RD STE 102  SAN ANTONIO, TX 78248 US
Tel: (21-0) -493-9944  Fax: 210-493-9946

Business Mailing Address:
16535 HUEBNER RD STE 102  SAN ANTONIO, TX 78248 US
Tel: 210-493-9944  Fax: 210-493-9946

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N1223D0001XDental Providers
Dentist
Dental Public Health
Y122300000XDental Providers
Dentist





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