| Fredricksburg Smiles Pllc | |
|
1703 Fredericksburg Road San Antonio TX 78210 | |
| (903) 360-8657 | |
| Not Available |
| Full Name | Fredricksburg Smiles Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1703 Fredericksburg Road, San Antonio, Texas |
| Authorized Official Name and Position | Dhaval Thakkar (OWNER / DENTIST) |
| Authorized Official Contact | 9033608657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fredricksburg Smiles Pllc 6510 Apsley Creek Ln Sugar Land TX 77479-4371 Ph: (903) 360-8657 | Fredricksburg Smiles Pllc 1703 Fredericksburg Road San Antonio TX 78210 Ph: (903) 360-8657 |
| NPI Number | 1790447118 |
|---|---|
| Provider Enumeration Date | 10/13/2021 |
| Last Update Date | 10/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790447118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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