J & C Dental Ortho Pllc
NPI #1013668136 in San Antonio, Texas
Provider Information
- NPI Number
- 1013668136
- Entity Type
- Organization
- Organization Name
- J & C Dental Ortho Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 11, 2022
- Last Updated
- Jan 11, 2022
Practice Location
- Address
- 12314 POTRANCO RD SUITE # 101
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78253
- Phone
- (210) 787-3992
Authorized Official
- Name
- FAITH GASKINS
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (972) 869-3789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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