| Restoration Dental | |
|
9820 Braun Rd San Antonio TX 78254-9656 | |
| (217) 619-1059 | |
| Not Available |
| Full Name | Restoration Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9820 Braun Rd, San Antonio, Texas |
| Authorized Official Name and Position | Kye Edward Mallernee (DENTIST) |
| Authorized Official Contact | 2176191059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Dental 9820 Braun Rd San Antonio TX 78254-9656 Ph: (217) 619-1059 | Restoration Dental 9820 Braun Rd San Antonio TX 78254-9656 Ph: (217) 619-1059 |
| NPI Number | 1942717228 |
|---|---|
| Provider Enumeration Date | 01/08/2018 |
| Last Update Date | 01/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942717228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 31328 (Texas) | Primary |
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