| Bella Vista Dental | |
|
317 S Texas 46 Seguin TX 78155 | |
| (830) 379-8902 | |
| Not Available |
| Full Name | Bella Vista Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 317 S Texas 46, Seguin, Texas |
| Authorized Official Name and Position | Lara Perry (PRESIDENT) |
| Authorized Official Contact | 8303798902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bella Vista Dental 317 S Texas 46 Seguin TX 78155 Ph: (830) 379-8902 | Bella Vista Dental 317 S Texas 46 Seguin TX 78155 Ph: (830) 379-8902 |
| NPI Number | 1154673101 |
|---|---|
| Provider Enumeration Date | 10/15/2012 |
| Last Update Date | 10/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154673101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22207 (Texas) | Primary |
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