| Boerne Family Dentistry | |
|
1361 S Main St Ste 201 Boerne TX 78006-2863 | |
| (830) 816-6111 | |
| (830) 249-6111 |
| Full Name | Boerne Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1361 S Main St Ste 201, Boerne, Texas |
| Authorized Official Name and Position | Luigi Massa (OWNER/DENTIST) |
| Authorized Official Contact | 8306601669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boerne Family Dentistry 1361 S Main St Ste 201 Boerne TX 78006-2863 Ph: (830) 816-6111 | Boerne Family Dentistry 1361 S Main St Ste 201 Boerne TX 78006-2863 Ph: (830) 816-6111 |
| NPI Number | 1972017069 |
|---|---|
| Provider Enumeration Date | 11/28/2017 |
| Last Update Date | 11/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972017069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22462 (Texas) | Primary |
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