| Nursing Home Dentistry | |
|
1615 11th St Floresville TX 78114-2403 | |
| (214) 218-7403 | |
| (210) 899-0077 |
| Full Name | Nursing Home Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1615 11th St, Floresville, Texas |
| Authorized Official Name and Position | Melodie R Diamond (MANAGING MEMBER) |
| Authorized Official Contact | 2142187403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nursing Home Dentistry 14439 Nw Military Hwy Suite 108, Box 424 San Antonio TX 78231 Ph: (210) 248-9946 | Nursing Home Dentistry 1615 11th St Floresville TX 78114-2403 Ph: (214) 218-7403 |
| NPI Number | 1073050993 |
|---|---|
| Provider Enumeration Date | 01/30/2017 |
| Last Update Date | 01/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073050993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 28498 (Texas) | Primary |
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