Organization · Type 2 NPI
San Antonio Wisdom Teeth, PLLC
Oral and Maxillofacial Surgery (Dentist) · San Antonio, TX
Practice location
13535 Hausman Pass #102-A
San Antonio, TX 78249
Mailing address
5406 W 11000 N # 226
Highland, UT 84003-8942
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1568080497
San Antonio Wisdom Teeth, PLLC's National Provider Identifier is 1568080497, issued on Jul 7, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in San Antonio, TX. The record was last updated on Jul 7, 2020.