| Southside Childrensa Dental Center | |
|
125 Sw Military Dr San Antonio TX 78221-1650 | |
| (210) 922-3483 | |
| Not Available |
| Full Name | Southside Childrensa Dental Center |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 125 Sw Military Dr, San Antonio, Texas |
| Authorized Official Name and Position | Doris Zercher (OFFICE MANAGER) |
| Authorized Official Contact | 2109223483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Childrensa Dental Center 125 Sw Military Dr San Antonio TX 78221-1650 Ph: (210) 922-3483 | Southside Childrensa Dental Center 125 Sw Military Dr San Antonio TX 78221-1650 Ph: (210) 922-3483 |
| NPI Number | 1396174900 |
|---|---|
| Provider Enumeration Date | 11/04/2013 |
| Last Update Date | 11/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396174900 | NPI | - | NPPES |
| 009833701 | Medicaid | TX | |
| 209944201 | Medicaid | TX | |
| 204974401 | Medicaid | TX | |
| 2882862 | Medicaid | TX | |
| 126722102 | Medicaid | TX |
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