Cibolo Denter Center Pllc | |
3893 Cibolo Valley Dr 104 Cibolo TX 78108 | |
(210) 658-7200 | |
(210) 658-7206 |
Full Name | Cibolo Denter Center Pllc |
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Speciality | Dentist |
Location | 3893 Cibolo Valley Dr, Cibolo, Texas |
Authorized Official Name and Position | Angela Enriquez (DENTIST) |
Authorized Official Contact | 2106587200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cibolo Denter Center Pllc 3893 Cibolo Valley Dr 104 Cibolo TX 78108 Ph: (210) 658-7200 | Cibolo Denter Center Pllc 3893 Cibolo Valley Dr 104 Cibolo TX 78108 Ph: (210) 658-7200 |
NPI Number | 1043653892 |
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Provider Enumeration Date | 04/11/2013 |
Last Update Date | 04/11/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043653892 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
126800000X | Dental Assistant | (* (Not Available)) | Secondary |
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