Provider First Line Business Practice Location Address:
2748 WORTH RD STE 4
Provider Second Line Business Practice Location Address:
USA DENTAL COMMAND
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78234-6033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-221-8241
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/06/2012