Provider First Line Business Practice Location Address:
7703 FLOYD CURL DRIVE UT HEALTH SCIENCE CENTER AT SAN A
Provider Second Line Business Practice Location Address:
MSC 7903, ADVANCED GENERAL DENTISTRY CLINIC
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78229-3900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-567-3456
Provider Business Practice Location Address Fax Number:
210-567-3443
Provider Enumeration Date:
12/03/2010