| Hildebrand Family Dental Care P.a. | |
|
1001 W Hildebrand Ave San Antonio TX 78201-4609 | |
| (210) 733-9477 | |
| (210) 733-9561 |
| Full Name | Hildebrand Family Dental Care P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1001 W Hildebrand Ave, San Antonio, Texas |
| Authorized Official Name and Position | Shiva Izaddoust (PRESIDENT) |
| Authorized Official Contact | 2107339477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hildebrand Family Dental Care P.a. 1001 W Hildebrand Ave San Antonio TX 78201-4609 Ph: (210) 733-9477 | Hildebrand Family Dental Care P.a. 1001 W Hildebrand Ave San Antonio TX 78201-4609 Ph: (210) 733-9477 |
| NPI Number | 1326172651 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326172651 | NPI | - | NPPES |
| G60126-01 | Other | TX | TEXAS CHIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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