Geriatric Dental Group Of South Texas, Pa | |
5282 Medical Dr Ste 104 San Antonio TX 78229-4983 | |
(210) 617-4446 | |
(210) 617-5572 |
Full Name | Geriatric Dental Group Of South Texas, Pa |
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Speciality | Clinic/center - Dental |
Location | 5282 Medical Dr Ste 104, San Antonio, Texas |
Authorized Official Name and Position | Sarah June Dirks (OWNER/PRESIDENT) |
Authorized Official Contact | 2106174446 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Geriatric Dental Group Of South Texas, Pa 5282 Medical Dr Ste 104 San Antonio TX 78229-4983 Ph: (210) 617-4446 | Geriatric Dental Group Of South Texas, Pa 5282 Medical Dr Ste 104 San Antonio TX 78229-4983 Ph: (210) 617-4446 |
NPI Number | 1245648732 |
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Provider Enumeration Date | 07/28/2014 |
Last Update Date | 07/28/2014 |
Identifier | Type | State | Issuer |
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1245648732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 16152 (Texas) | Primary |
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