| Northwoods Dental Spa | |
|
18160 Hwy 281 North Suite 104 San Antonio TX 78232 | |
| (210) 495-7800 | |
| (210) 495-7805 |
| Full Name | Northwoods Dental Spa |
|---|---|
| Speciality | Dentist |
| Location | 18160 Hwy 281 North, San Antonio, Texas |
| Authorized Official Name and Position | Irene Kiansky Blaess (OWNER DENTISTS) |
| Authorized Official Contact | 2104957800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwoods Dental Spa 18160 Hwy 281 N Ste 104 San Antonio TX 78232 Ph: (210) 495-7800 | Northwoods Dental Spa 18160 Hwy 281 North Suite 104 San Antonio TX 78232 Ph: (210) 495-7800 |
| NPI Number | 1811077407 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8022480987 |
|---|---|
| Medicare Enrollment ID | O20230202002455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811077407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Irene K Blaess |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1023198611 PECOS PAC ID: 9931571890 Enrollment ID: I20230202002955 |
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