| Potranco Dental And Braces Pllc | |
|
8610 Potranco Rd Ste 210 San Antonio TX 78251-3034 | |
| (210) 568-9800 | |
| Not Available |
| Full Name | Potranco Dental And Braces Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8610 Potranco Rd Ste 210, San Antonio, Texas |
| Authorized Official Name and Position | Dave Goldwyn Jequinto (OWNER/DOCTOR) |
| Authorized Official Contact | 2105854123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Potranco Dental And Braces Pllc 8610 Potranco Rd Ste 210 San Antonio TX 78251-3034 Ph: () - | Potranco Dental And Braces Pllc 8610 Potranco Rd Ste 210 San Antonio TX 78251-3034 Ph: (210) 568-9800 |
| NPI Number | 1730844770 |
|---|---|
| Provider Enumeration Date | 11/04/2021 |
| Last Update Date | 12/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730844770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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