| Brett Harris Dmd Da Pllc | |
|
226 Newell Ave Apt 105 San Antonio TX 78215-1611 | |
| (970) 390-4124 | |
| Not Available |
| Full Name | Brett Harris Dmd Da Pllc |
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 226 Newell Ave Apt 105, San Antonio, Texas |
| Authorized Official Name and Position | Brett Harris (OWNER) |
| Authorized Official Contact | 9703904124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brett Harris Dmd Da Pllc 226 Newell Ave Apt 105 San Antonio TX 78215-1611 Ph: (970) 390-4124 | Brett Harris Dmd Da Pllc 226 Newell Ave Apt 105 San Antonio TX 78215-1611 Ph: (970) 390-4124 |
| NPI Number | 1821669490 |
|---|---|
| Provider Enumeration Date | 07/06/2021 |
| Last Update Date | 07/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821669490 | NPI | - | NPPES |
| 3640781 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | (* (Not Available)) | Primary |
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