Full Smile Oakwell Farms Orthodontics, Pllc | |
1919 Oakwell Farms Pkwy Ste 240 San Antonio TX 78218-1779 | |
(210) 828-6787 | |
(210) 824-2652 |
Full Name | Full Smile Oakwell Farms Orthodontics, Pllc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1919 Oakwell Farms Pkwy Ste 240, San Antonio, Texas |
Authorized Official Name and Position | Jennifer Williams (CREDENTIALING MANAGER) |
Authorized Official Contact | 8063531055 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Full Smile Oakwell Farms Orthodontics, Pllc 11330 Potranco Rd Ste 105 San Antonio TX 78253-7282 Ph: (210) 828-6787 | Full Smile Oakwell Farms Orthodontics, Pllc 1919 Oakwell Farms Pkwy Ste 240 San Antonio TX 78218-1779 Ph: (210) 828-6787 |
NPI Number | 1154194249 |
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Provider Enumeration Date | 11/01/2023 |
Last Update Date | 11/01/2023 |
Identifier | Type | State | Issuer |
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1154194249 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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