Amdg Dental Pllc | |
317 S Market St Goliad TX 77963-4167 | |
(361) 645-2381 | |
Not Available |
Full Name | Amdg Dental Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 317 S Market St, Goliad, Texas |
Authorized Official Name and Position | Octavio Mario Oliva (GENERAL DENTIST) |
Authorized Official Contact | 2055277037 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Amdg Dental Pllc 317 S Market St Goliad TX 77963-4167 Ph: (361) 645-2381 | Amdg Dental Pllc 317 S Market St Goliad TX 77963-4167 Ph: (361) 645-2381 |
NPI Number | 1376283010 |
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Provider Enumeration Date | 03/30/2022 |
Last Update Date | 03/30/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376283010 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Goliad Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 S Market, Goliad, TX 77963 Phone: 361-645-2381 Fax: 361-645-3996 |