| Great Kids Dental | |
|
1134 Culebra Rd Ste 109 San Antonio TX 78201-6080 | |
| (210) 888-0700 | |
| (210) 625-7398 |
| Full Name | Great Kids Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1134 Culebra Rd Ste 109, San Antonio, Texas |
| Authorized Official Name and Position | Oshmi Dutta (CEO) |
| Authorized Official Contact | 2108880700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Kids Dental 18707 Hardy Oak Blvd Ste 305 San Antonio TX 78258-4895 Ph: (210) 888-0700 | Great Kids Dental 1134 Culebra Rd Ste 109 San Antonio TX 78201-6080 Ph: (210) 888-0700 |
| NPI Number | 1669011235 |
|---|---|
| Provider Enumeration Date | 12/31/2019 |
| Last Update Date | 10/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669011235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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