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1248 Fm 78 Suite 105 Schertz TX 78154 | |
| (210) 375-5256 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1248 Fm 78, Schertz, Texas |
| Authorized Official Name and Position | Diana Kukleris (DIRECTOR) |
| Authorized Official Contact | 2103755256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1248 Fm 78 Suite 105 Schertz TX 78154 Ph: (210) 375-5256 | 1248 Fm 78 Suite 105 Schertz TX 78154 Ph: (210) 375-5256 |
| NPI Number | 1235481870 |
|---|---|
| Provider Enumeration Date | 10/05/2012 |
| Last Update Date | 02/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235481870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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