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General NPI Number Information
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NPI Number | 1952066458
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Entity Type | Organization
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Legal Business Name | POTRANCO CHILDREN'S DENTAL ASSOCIATION
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Dates
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Enumeration Date | 11/01/2021
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 12991 POTRANCO RD STE 110
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City | SAN ANTONIO
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State | TX
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Zip | 78253-7105
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Country | US
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Telephone | 210-634-4343
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Fax | 210-519-2956
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Provider Business Mailing Address
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Address Line | 12991 POTRANCO RD STE 110
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City | SAN ANTONIO
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State | TX
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Zip | 78253-7105
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Country | US
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Telephone | 210-529-7995
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AARON SALINAS
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Credential | DDS
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Telephone | 956-612-8062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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