Familia Dental | |
6914 Farm To Market 78 Ste. 108 Sant Antonio TX 78244-1771 | |
(210) 892-8484 | |
(210) 666-0229 |
Full Name | Familia Dental |
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Speciality | Clinic/center - Dental |
Location | 6914 Farm To Market 78, Sant Antonio, Texas |
Authorized Official Name and Position | Brandon Alexander Taylor (CREDENTIALING & PAYER RELATIONS MAN) |
Authorized Official Contact | 8474537396 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Familia Dental 2050 East Algonquin Road Suite 610 Schaumburg IL 60173-4166 Ph: (847) 453-7396 | Familia Dental 6914 Farm To Market 78 Ste. 108 Sant Antonio TX 78244-1771 Ph: (210) 892-8484 |
NPI Number | 1215163878 |
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Provider Enumeration Date | 06/09/2009 |
Last Update Date | 06/25/2021 |
Identifier | Type | State | Issuer |
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1215163878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 22535 (Texas) | Secondary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |