| Carousel Dental Pa | |
|
1844 Nacogdoches Road San Antonio TX 78209-2216 | |
| (210) 824-0152 | |
| Not Available |
| Full Name | Carousel Dental Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1844 Nacogdoches Road, San Antonio, Texas |
| Authorized Official Name and Position | Bruce Michael Kral (PRESIDENT) |
| Authorized Official Contact | 2108240152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carousel Dental Pa 1844 Nacogdoches Road San Antonio TX 78209-2216 Ph: () - | Carousel Dental Pa 1844 Nacogdoches Road San Antonio TX 78209-2216 Ph: (210) 824-0152 |
| NPI Number | 1871863043 |
|---|---|
| Provider Enumeration Date | 01/05/2012 |
| Last Update Date | 01/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871863043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 15729 (Texas) | Primary |
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