| Lifetime Dental | |
|
1414 E Blanco Rd Suite 16 Boerne TX 78006-1831 | |
| (830) 249-9300 | |
| (830) 249-9330 |
| Full Name | Lifetime Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1414 E Blanco Rd, Boerne, Texas |
| Authorized Official Name and Position | J Tim Rainey (PRESIDENT) |
| Authorized Official Contact | 8302499300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Dental 1414 E Blanco Rd Suite 16 Boerne TX 78006-1831 Ph: (830) 249-9300 | Lifetime Dental 1414 E Blanco Rd Suite 16 Boerne TX 78006-1831 Ph: (830) 249-9300 |
| NPI Number | 1861668055 |
|---|---|
| Provider Enumeration Date | 05/07/2008 |
| Last Update Date | 07/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861668055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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