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1790124220
JENNIFER VANSCOY-PHAM
SAN ANTONIO, TX
NPI
1790124220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 29017)
Enumeration Date
2013-06-18
Last Update Date
2017-03-22
Business Address
-- JENNIFER VANSCOY-PHAM DDS
4622 W COMMERCE ST STE 108
SAN ANTONIO, TX 78237-1608
Phone number: 210-757-9913
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Mailing Address
-- JENNIFER VANSCOY-PHAM DDS
122 SHADYWOOD LN
SAN ANTONIO, TX 78216-7334
Phone number: 979-236-7281
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