San Marcos Pediatric Dentistry And Orthodontics | |
1320 Wonder World Dr San Marcos TX 78666-7557 | |
(512) 618-1383 | |
(512) 353-1619 |
Full Name | San Marcos Pediatric Dentistry And Orthodontics |
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Speciality | Dentist |
Location | 1320 Wonder World Dr, San Marcos, Texas |
Authorized Official Name and Position | Roel Gonzalez (PEDIATRIC DENTIST) |
Authorized Official Contact | 2109067077 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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San Marcos Pediatric Dentistry And Orthodontics 1320 Wonder World Dr Ste 103 San Marcos TX 78666-7558 Ph: (210) 906-7077 | San Marcos Pediatric Dentistry And Orthodontics 1320 Wonder World Dr San Marcos TX 78666-7557 Ph: (512) 618-1383 |
NPI Number | 1013431238 |
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Provider Enumeration Date | 07/30/2017 |
Last Update Date | 07/24/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013431238 | NPI | - | NPPES |
376303901 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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Ideal Dental Of San Marcos Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Springtown Way Ste 108, San Marcos, TX 78666 Phone: 512-717-6053 Fax: 210-569-7740 | |
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San Marcos Dental And Braces Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Wonder World Dr Ste 101, San Marcos, TX 78666 Phone: 210-944-0504 | |
W.l. Gilcrease D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 W San Antonio St, San Marcos, TX 78666 Phone: 512-392-5549 |