| Shavano Park Family Dentistry, Pa | |
|
4466 Lockhill Selma Rd Ste. 102 San Antonio TX 78249-2078 | |
| (210) 764-8600 | |
| (210) 764-0844 |
| Full Name | Shavano Park Family Dentistry, Pa |
|---|---|
| Speciality | Dentist |
| Location | 4466 Lockhill Selma Rd, San Antonio, Texas |
| Authorized Official Name and Position | Huyen Allison Tran (PRESIDENT) |
| Authorized Official Contact | 2107648600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shavano Park Family Dentistry, Pa 4466 Lockhill Selma Rd Ste. 102 San Antonio TX 78249-2078 Ph: (210) 764-8600 | Shavano Park Family Dentistry, Pa 4466 Lockhill Selma Rd Ste. 102 San Antonio TX 78249-2078 Ph: (210) 764-8600 |
| NPI Number | 1942359286 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942359286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 21004 (Texas) | Primary |
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