| Light Dental, Pllc | |
|
7323 Marbach Rd Ste 101 San Antonio TX 78227-1905 | |
| (210) 673-8843 | |
| Not Available |
| Full Name | Light Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7323 Marbach Rd Ste 101, San Antonio, Texas |
| Authorized Official Name and Position | Doina Mihaela Charan (PRESIDENT) |
| Authorized Official Contact | 2106738843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Light Dental, Pllc 7323 Marbach Rd Ste 101 San Antonio TX 78227-1905 Ph: () - | Light Dental, Pllc 7323 Marbach Rd Ste 101 San Antonio TX 78227-1905 Ph: (210) 673-8843 |
| NPI Number | 1952822090 |
|---|---|
| Provider Enumeration Date | 06/28/2017 |
| Last Update Date | 06/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952822090 | NPI | - | NPPES |
| 1407976962 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 26040 (Texas) | Primary |
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