| Encino Family Dentistry, Cosmetic & Implant Dentistry Pllc | |
|
2339 E Evans Rd Ste 100 San Antonio TX 78259-2718 | |
| (210) 503-0230 | |
| Not Available |
| Full Name | Encino Family Dentistry, Cosmetic & Implant Dentistry Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2339 E Evans Rd Ste 100, San Antonio, Texas |
| Authorized Official Name and Position | Akintunde Ojo (MANAGING MEMBER) |
| Authorized Official Contact | 2105030230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Encino Family Dentistry, Cosmetic & Implant Dentistry Pllc 2339 E Evans Rd Ste 100 San Antonio TX 78259-2718 Ph: (210) 503-0230 | Encino Family Dentistry, Cosmetic & Implant Dentistry Pllc 2339 E Evans Rd Ste 100 San Antonio TX 78259-2718 Ph: (210) 503-0230 |
| NPI Number | 1104466457 |
|---|---|
| Provider Enumeration Date | 01/14/2020 |
| Last Update Date | 01/14/2020 |
| Medicare PECOS PAC ID | 9133541642 |
|---|---|
| Medicare Enrollment ID | O20200629002728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104466457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Akintunde Ojo |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1215464557 PECOS PAC ID: 7012339526 Enrollment ID: I20200629003153 |
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