| Dental Republic Plaza Pc | |
|
11535 West Ave San Antonio TX 78213-1343 | |
| (210) 780-6000 | |
| Not Available |
| Full Name | Dental Republic Plaza Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11535 West Ave, San Antonio, Texas |
| Authorized Official Name and Position | Son Tran (PRESIDENT) |
| Authorized Official Contact | 9727471400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Republic Plaza Pc 3211 W Northwest Hwy # 100 Dallas TX 75220-5944 Ph: (972) 747-1400 | Dental Republic Plaza Pc 11535 West Ave San Antonio TX 78213-1343 Ph: (210) 780-6000 |
| NPI Number | 1033858006 |
|---|---|
| Provider Enumeration Date | 05/30/2022 |
| Last Update Date | 05/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033858006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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