| Las Palmas Dental, Pllc | |
|
810 S General Mcmullen Dr San Antonio TX 78237-3111 | |
| (940) 808-1970 | |
| (855) 731-5147 |
| Full Name | Las Palmas Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 810 S General Mcmullen Dr, San Antonio, Texas |
| Authorized Official Name and Position | Charles B Mckenzie (OWNER) |
| Authorized Official Contact | 9408081970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Palmas Dental, Pllc Po Box 674330 Dallas TX 75267-4330 Ph: (940) 808-1970 | Las Palmas Dental, Pllc 810 S General Mcmullen Dr San Antonio TX 78237-3111 Ph: (940) 808-1970 |
| NPI Number | 1316334113 |
|---|---|
| Provider Enumeration Date | 04/20/2015 |
| Last Update Date | 07/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316334113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 27638 (Texas) | Primary |
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