| Cosmetic Dentistry Of San Antonio | |
|
16535 Huebner Rd Ste 102 San Antonio TX 78248-1676 | |
| (210) 493-9944 | |
| (210) 493-9946 |
| Full Name | Cosmetic Dentistry Of San Antonio |
|---|---|
| Speciality | Dentist |
| Location | 16535 Huebner Rd Ste 102, San Antonio, Texas |
| Authorized Official Name and Position | Ashley J Gonzalez (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 2104939944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cosmetic Dentistry Of San Antonio 16535 Huebner Rd Ste 102 San Antonio TX 78248-1676 Ph: (210) 493-9944 | Cosmetic Dentistry Of San Antonio 16535 Huebner Rd Ste 102 San Antonio TX 78248-1676 Ph: (210) 493-9944 |
| NPI Number | 1487174280 |
|---|---|
| Provider Enumeration Date | 06/22/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487174280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Secondary |
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