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1467586768
SOUTH PARK FAMILY DENTAL CARE PA
SAN ANTONIO, TX
NPI
1467586768
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Entity Type
Organization
Authorized Contact
SHIVA IZADDOUST
President
210-927-1400
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2007-03-16
Last Update Date
2011-05-24
Business Address
SOUTH PARK FAMILY DENTAL CARE PA
2310 SW MILITARY DR STE 406
SAN ANTONIO, TX 78224-1407
Phone number: 210-927-1400
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Mailing Address
SOUTH PARK FAMILY DENTAL CARE PA
2310 SW MILITARY DR STE 406
SAN ANTONIO, TX 78224-1407
Phone number: 210-927-1400
Copy
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