| Mark A Penshorn, Dds, Pa | |
|
2501 Fm 3009 Schertz TX 78154-2714 | |
| (210) 659-1379 | |
| (210) 659-6215 |
| Full Name | Mark A Penshorn, Dds, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2501 Fm 3009, Schertz, Texas |
| Authorized Official Name and Position | Mark A Penshorn (PRESIDENT) |
| Authorized Official Contact | 2106591379 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Penshorn, Dds, Pa 2501 Fm 3009 Schertz TX 78154-2714 Ph: (210) 659-1379 | Mark A Penshorn, Dds, Pa 2501 Fm 3009 Schertz TX 78154-2714 Ph: (210) 659-1379 |
| NPI Number | 1518134477 |
|---|---|
| Provider Enumeration Date | 05/09/2008 |
| Last Update Date | 05/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518134477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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