| Keen Dental Health | |
|
1813 Grandstand Dr San Antonio TX 78238-4701 | |
| (210) 569-2650 | |
| Not Available |
| Full Name | Keen Dental Health |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1813 Grandstand Dr, San Antonio, Texas |
| Authorized Official Name and Position | Pegeen Moira Kramer (PRESIDENT) |
| Authorized Official Contact | 2105692650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keen Dental Health 926 Windmill Palm San Antonio TX 78216-8004 Ph: (210) 569-2650 | Keen Dental Health 1813 Grandstand Dr San Antonio TX 78238-4701 Ph: (210) 569-2650 |
| NPI Number | 1346651478 |
|---|---|
| Provider Enumeration Date | 05/12/2014 |
| Last Update Date | 05/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346651478 | NPI | - | NPPES |
| 167017602 | Medicaid | TX | |
| 120877902 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12325 (Texas) | Secondary |
| 1223G0001X | Dentist - General Practice | 6593 (Texas) | Primary |
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