“General Practice Dentistry” (Jbsa - Lackland, TX)
Location: Jbsa - Lackland, TX
Taxonomy: General Practice Dentistry.
A provider can have more than one taxonomy code. It is critical to register all applicable
taxonomy codes with NPPES and to use the correct taxonomy code to represent the
specific specialty when filing claims. This will assist in more accurate and timely
processing of claims.
1972137644
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AUDREY
NICOLE
IMPERIAL
Practice Location Address:
59 DG AF POSTGRADUATE DENTAL SCHOOL
2133 PEPPERRELL ST BLDG 3352
JBSA - LACKLAND TX
78236-5313
Practice Phone:
210-292-6258