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8056 Shin Oak Dr Ste 200 Live Oak TX 78233-2957 | |
| (210) 441-3360 | |
| (210) 441-3387 |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 8056 Shin Oak Dr Ste 200, Live Oak, Texas |
| Authorized Official Name and Position | Jerame Hafen (OWNER) |
| Authorized Official Contact | 2108458831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8056 Shin Oak Dr Ste 200 Live Oak TX 78233-2957 Ph: (210) 441-3360 | 8056 Shin Oak Dr Ste 200 Live Oak TX 78233-2957 Ph: (210) 441-3360 |
| NPI Number | 1932813219 |
|---|---|
| Provider Enumeration Date | 01/10/2023 |
| Last Update Date | 01/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932813219 | NPI | - | NPPES |
| NONE | Other | NONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Rest Resolution Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 11901 Toepperwein Rd Ste 1104, Live Oak, TX 78233 Phone: 210-946-4746 | |
Fossil Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8142 Shin Oak Dr Ste 100, Live Oak, TX 78233 Phone: 210-888-5832 | |
Marisa H. Fox, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7900 Shin Oak Dr, Live Oak, TX 78233 Phone: 210-654-1851 Fax: 210-654-3078 | |
Olympia Hills Family Dental, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8056 Shin Oak Dr, Ste 100, Live Oak, TX 78233 Phone: 210-658-3131 Fax: 210-658-9033 | |
Goodman Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8204 Pat Booker Rd, Live Oak, TX 78233 Phone: 210-654-9094 |