| Dds Dental | |
|
1809 Louise Lane Suite 200 Pearsall TX 78061-3215 | |
| (210) 846-5571 | |
| Not Available |
| Full Name | Dds Dental |
|---|---|
| Speciality | Dentist |
| Location | 1809 Louise Lane, Pearsall, Texas |
| Authorized Official Name and Position | Bassam Abdulnaim Abazid (OWNER) |
| Authorized Official Contact | 2108465571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dds Dental 1809 Louise Lane Suite 200 Pearsall TX 78061-3207 Ph: (210) 846-5571 | Dds Dental 1809 Louise Lane Suite 200 Pearsall TX 78061-3215 Ph: (210) 846-5571 |
| NPI Number | 1194134577 |
|---|---|
| Provider Enumeration Date | 08/11/2014 |
| Last Update Date | 08/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194134577 | NPI | - | NPPES |
| 218209907 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 26095 (Texas) | Primary |
Limou Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1809 Louise Ln Ste 200, Pearsall, TX 78061 Phone: 830-505-7301 | |
Sv Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 N Ash St, Pearsall, TX 78061 Phone: 830-334-3333 Fax: 830-334-3337 |