| Southside Children's Dental Center, P.c. | |
|
125 Sw Military Dr San Antonio TX 78221-1650 | |
| (210) 922-3483 | |
| (210) 922-8902 |
| Full Name | Southside Children's Dental Center, P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 125 Sw Military Dr, San Antonio, Texas |
| Authorized Official Name and Position | Doris Coderre-zercher (OFFICE MANAGER) |
| Authorized Official Contact | 2109223483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Children's Dental Center, P.c. 125 Sw Military Dr San Antonio TX 78221-1650 Ph: (210) 922-3483 | Southside Children's Dental Center, P.c. 125 Sw Military Dr San Antonio TX 78221-1650 Ph: (210) 922-3483 |
| NPI Number | 1902815335 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 10/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902815335 | NPI | - | NPPES |
| 126722102 | Medicaid | TX | |
| 695123 | Other | TX | UNITED CONCORDIA |
| 007874 | Other | TX | DELTA CARE |
| 38644 | Other | TX | UNITED HEALTHCARE |
| 84D747 | Other | TX | BLUECROSS |
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