| Mellard Dentistry At Leon Springs | |
|
24200 W Ih 10 Suite 112 San Antonio TX 78257-1145 | |
| (210) 687-1133 | |
| (210) 687-1132 |
| Full Name | Mellard Dentistry At Leon Springs |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 24200 W Ih 10, San Antonio, Texas |
| Authorized Official Name and Position | Mary Mellard (PRESIDENT) |
| Authorized Official Contact | 2106871133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mellard Dentistry At Leon Springs 24200 W Ih 10 Suite 112 San Antonio TX 78257-1145 Ph: (210) 687-1133 | Mellard Dentistry At Leon Springs 24200 W Ih 10 Suite 112 San Antonio TX 78257-1145 Ph: (210) 687-1133 |
| NPI Number | 1205168473 |
|---|---|
| Provider Enumeration Date | 02/12/2010 |
| Last Update Date | 02/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205168473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13920 (Texas) | Primary |
| 1223P0300X | Dentist - Periodontics | 13919 (Texas) | Secondary |
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