San Antonio Wisdom Teeth, Pllc | |
13535 Hausman Pass #102-a San Antonio TX 78249 | |
(214) 307-4039 | |
Not Available |
Full Name | San Antonio Wisdom Teeth, Pllc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 13535 Hausman Pass #102-a, San Antonio, Texas |
Authorized Official Name and Position | Ryan Arnold (ADMINISTRATOR) |
Authorized Official Contact | 8018995512 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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San Antonio Wisdom Teeth, Pllc 5406 W 11000 N # 226 Highland UT 84003-8942 Ph: () - | San Antonio Wisdom Teeth, Pllc 13535 Hausman Pass #102-a San Antonio TX 78249 Ph: (214) 307-4039 |
NPI Number | 1568080497 |
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Provider Enumeration Date | 07/07/2020 |
Last Update Date | 07/07/2020 |
Identifier | Type | State | Issuer |
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1568080497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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