TEXAS DENTAL SPECIALIST PRACTICE, PLLC

SAN ANTONIO, TX
NPI1851051791
Entity TypeOrganization
Authorized ContactGREGORY KOSTELAC
Credentialing Specialist
719-372-5605
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2021-12-20
Last Update Date2022-07-26
Business Address
TEXAS DENTAL SPECIALIST PRACTICE, PLLC
12521 NACOGDOCHES RD STE 103
SAN ANTONIO, TX 78217-2117
Phone number: 210-653-3452
Mailing Address
TEXAS DENTAL SPECIALIST PRACTICE, PLLC
6110 BARNES RD
COLORADO SPRINGS, CO 80922-2600
Phone number:
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