| Deerfield Dental | |
|
14855 Blanco Rd Ste 413 San Antonio TX 78216-7731 | |
| (210) 408-6000 | |
| Not Available |
| Full Name | Deerfield Dental |
|---|---|
| Speciality | Dentist |
| Location | 14855 Blanco Rd Ste 413, San Antonio, Texas |
| Authorized Official Name and Position | Irene Kiansky Blaess (VICE PRESIDENT) |
| Authorized Official Contact | 2104457915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deerfield Dental 5999 De Zavala Rd Ste 122 San Antonio TX 78249-2236 Ph: (210) 408-6000 | Deerfield Dental 14855 Blanco Rd Ste 413 San Antonio TX 78216-7731 Ph: (210) 408-6000 |
| NPI Number | 1942518626 |
|---|---|
| Provider Enumeration Date | 09/16/2010 |
| Last Update Date | 09/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942518626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19006 (Texas) | Primary |
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