| Great Life Dental | |
|
235 E Hildebrand Ave Ste 200 San Antonio TX 78212-2430 | |
| (210) 821-5316 | |
| Not Available |
| Full Name | Great Life Dental |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 235 E Hildebrand Ave Ste 200, San Antonio, Texas |
| Authorized Official Name and Position | Fawzi Hijazi (CEO) |
| Authorized Official Contact | 2108215316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Life Dental 235 E Hildebrand Ave # 200 San Antonio TX 78212-2430 Ph: (210) 821-5316 | Great Life Dental 235 E Hildebrand Ave Ste 200 San Antonio TX 78212-2430 Ph: (210) 821-5316 |
| NPI Number | 1083263149 |
|---|---|
| Provider Enumeration Date | 09/10/2019 |
| Last Update Date | 04/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083263149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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