My Local Texas Dental Practice, Pllc | |
804 N Main St Boerne TX 78006-1626 | |
(830) 249-8407 | |
Not Available |
Full Name | My Local Texas Dental Practice, Pllc |
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Speciality | Dentist - General Practice |
Location | 804 N Main St, Boerne, Texas |
Authorized Official Name and Position | Michelle Johnson (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 5093158338 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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My Local Texas Dental Practice, Pllc 804 N Main St Boerne TX 78006-1626 Ph: () - | My Local Texas Dental Practice, Pllc 804 N Main St Boerne TX 78006-1626 Ph: (830) 249-8407 |
NPI Number | 1043887953 |
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Provider Enumeration Date | 06/09/2021 |
Last Update Date | 06/09/2021 |
Identifier | Type | State | Issuer |
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1043887953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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