| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1080 Fm 3009, Schertz, Texas |
| Authorized Official Name and Position | Esteban Velez (PRESIDENT) |
| Authorized Official Contact | 2106597884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1080 Fm 3009 Schertz TX 78154-2726 Ph: (210) 659-7884 | 1080 Fm 3009 Schertz TX 78154-2726 Ph: (210) 659-7884 |
| NPI Number | 1245558451 |
|---|---|
| Provider Enumeration Date | 05/12/2010 |
| Last Update Date | 10/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245558451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 21621 (Texas) | Primary |
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