| Omos Park Cosmetic Dentistry | |
|
351 E Hildebrand Ave San Antonio TX 78212-2412 | |
| (210) 824-2303 | |
| Not Available |
| Full Name | Omos Park Cosmetic Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 351 E Hildebrand Ave, San Antonio, Texas |
| Authorized Official Name and Position | Minda J Gray (OWNER/DENTIST) |
| Authorized Official Contact | 2108242303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omos Park Cosmetic Dentistry 351 E Hildebrand Ave San Antonio TX 78212-2412 Ph: (210) 824-2303 | Omos Park Cosmetic Dentistry 351 E Hildebrand Ave San Antonio TX 78212-2412 Ph: (210) 824-2303 |
| NPI Number | 1902343148 |
|---|---|
| Provider Enumeration Date | 01/26/2017 |
| Last Update Date | 01/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902343148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 31920 (Texas) | Primary |
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