person
Amadea Jocelyn Wijayanto, DDS
Student in an Organized Health Care Education/Training Program in San Antonio, Texas
NPI 1093599797

Amadea Jocelyn Wijayanto is a Student in an Organized Health Care Education/Training Program based in San Antonio, TX. Amadea Jocelyn Wijayanto practices in San Antonio, TX and has the professional credentials of DDS. The NPI Number for Amadea Jocelyn Wijayanto is 1093599797 and holds a License No. (Texas).

The current practice location address for Amadea Jocelyn Wijayanto is 7703 Floyd Curl Dr, San Antonio, TX and can be reached out via phone at 210-450-3700.

Location: 7703 Floyd Curl Dr, San Antonio, TX, 78229-3901
person
Provider Profile Details
NPI Number
1093599797
Provider Name
Amadea Jocelyn Wijayanto
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
7703 Floyd Curl Dr, San Antonio, TX, 78229-3901
Phone Number
210-450-3700
Fax Number
Provider Enumeration Date
08/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7703 Floyd Curl Dr
City
State
Zip
78229-3901
Phone Number
210-450-3700
Fax Number
person
Provider Business Mailing Address Details
Address
7703 Floyd Curl Dr
City
State
Zip
78229-3901
Phone Number
210-450-3700
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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