| Boerne Family Dental Pllc | |
|
1112 S Main St Ste A Boerne TX 78006-2812 | |
| (830) 755-6475 | |
| (830) 755-6485 |
| Full Name | Boerne Family Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1112 S Main St Ste A, Boerne, Texas |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boerne Family Dental Pllc 1112 S Main St Ste A Boerne TX 78006-2812 Ph: (830) 755-6475 | Boerne Family Dental Pllc 1112 S Main St Ste A Boerne TX 78006-2812 Ph: (830) 755-6475 |
| NPI Number | 1528678620 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 08/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528678620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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