INGRAM MALL FDC PA

SAN ANTONIO, TX
NPI1992963136
Entity TypeOrganization
Authorized ContactLYNN ARMSTRONG
Regional Manager
505-328-4867
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: TX  0008481)
Enumeration Date2008-05-23
Last Update Date2008-05-23
Business Address
INGRAM MALL FDC PA
6301 N.W. LOOP 410 STE L1A
SAN ANTONIO, TX 78238-3824
Phone number: 210-354-4867
Mailing Address
INGRAM MALL FDC PA
6301 N.W. LOOP 410 STE L1A
SAN ANTONIO, TX 78238-3824
Phone number: 210-354-4867