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20770 Us Highway 281 N #110 San Antonio TX 78258-7519 | |
| (210) 494-4455 | |
| (210) 496-1641 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20770 Us Highway 281 N, San Antonio, Texas |
| Authorized Official Name and Position | Michael P Hill (OWNER/ DENTIST) |
| Authorized Official Contact | 2104944455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
20770 Us Highway 281 N #110 San Antonio TX 78258-7519 Ph: (210) 494-4455 | 20770 Us Highway 281 N #110 San Antonio TX 78258-7519 Ph: (210) 494-4455 |
| NPI Number | 1518232966 |
|---|---|
| Provider Enumeration Date | 03/19/2012 |
| Last Update Date | 03/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518232966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12018 (Texas) | Primary |
| 1223G0001X | Dentist - General Practice | 21394 (Texas) | Secondary |
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