M L Wooldridge DDS PLLC
Dentist, General Practice in San Antonio, TX. Organization (NPI-2).
NPI number1114101961
StatusActive
Last updated in NPPESDec 27, 2007
Details
- NPI
- 1114101961
- Entity type
- Organization (NPI-2)
- Legal business name
- M L Wooldridge DDS PLLC
- Organization subpart
- No
- Enumeration date
- Dec 27, 2007
- Last updated
- Dec 27, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 12923 | TX | Yes |
Practice location
101 W Olmos DrSan Antonio, TX 78212-1955
Phone 210-824-7457 · Fax 210-828-7243
Mailing address
101 W Olmos DrSan Antonio, TX 78212-1955
Phone 210-824-7457 · Fax 210-828-7243
Authorized official
Michael L. Wooldridge
Sole Owner
2108247457
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