| Mfd Dental, Pa | |
|
15303 Huebner Rd Ste 17 San Antonio TX 78248-0982 | |
| (210) 828-1392 | |
| (210) 829-1828 |
| Full Name | Mfd Dental, Pa |
|---|---|
| Speciality | Dentist |
| Location | 15303 Huebner Rd Ste 17, San Antonio, Texas |
| Authorized Official Name and Position | Barbara Arlene Macneill (SECRETARY / TREASURER) |
| Authorized Official Contact | 2108281392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mfd Dental, Pa 303 E Hildebrand Ave Ste 1 San Antonio TX 78212-2476 Ph: (210) 828-1392 | Mfd Dental, Pa 15303 Huebner Rd Ste 17 San Antonio TX 78248-0982 Ph: (210) 828-1392 |
| NPI Number | 1194422386 |
|---|---|
| Provider Enumeration Date | 02/08/2023 |
| Last Update Date | 02/08/2023 |
| Medicare PECOS PAC ID | 4981062379 |
|---|---|
| Medicare Enrollment ID | O20230616000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194422386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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