| Pax Dental | |
|
5311 N Loop 1604 W Ste 123 San Antonio TX 78249-4392 | |
| (210) 276-0600 | |
| Not Available |
| Full Name | Pax Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5311 N Loop 1604 W Ste 123, San Antonio, Texas |
| Authorized Official Name and Position | Nicolas John Richards (OWNER DENTIST) |
| Authorized Official Contact | 2104541997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pax Dental 11327 Expo Blvd Apt 308 San Antonio TX 78230-1739 Ph: (210) 454-1997 | Pax Dental 5311 N Loop 1604 W Ste 123 San Antonio TX 78249-4392 Ph: (210) 276-0600 |
| NPI Number | 1003512005 |
|---|---|
| Provider Enumeration Date | 02/01/2023 |
| Last Update Date | 02/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003512005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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