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1992963136
INGRAM MALL FDC PA
SAN ANTONIO, TX
NPI
1992963136
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Entity Type
Organization
Authorized Contact
LYNN ARMSTRONG
Regional Manager
505-328-4867
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 0008481)
Enumeration Date
2008-05-23
Last Update Date
2008-05-23
Business Address
INGRAM MALL FDC PA
6301 N.W. LOOP 410 STE L1A
SAN ANTONIO, TX 78238-3824
Phone number: 210-354-4867
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Mailing Address
INGRAM MALL FDC PA
6301 N.W. LOOP 410 STE L1A
SAN ANTONIO, TX 78238-3824
Phone number: 210-354-4867
Copy
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