Provider First Line Business Practice Location Address:
5419 FREDERICKSBURG RD
Provider Second Line Business Practice Location Address:
OAK HILLS PERIODONTICS - DR. PAMELA RAY
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78229-3503
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-616-0980
Provider Business Practice Location Address Fax Number:
210-614-1122
Provider Enumeration Date:
08/16/2005