| Springtime Family Dental Care | |
|
6510 Babcock Rd Suite 106 San Antonio TX 78249 | |
| (210) 558-7000 | |
| (210) 558-7001 |
| Full Name | Springtime Family Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 6510 Babcock Rd, San Antonio, Texas |
| Authorized Official Name and Position | Shiva Izaddoust (OWNER) |
| Authorized Official Contact | 2109271400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springtime Family Dental Care 6510 Babcock Rd Suite # 106 San Antonio TX 78249 Ph: (210) 558-7000 | Springtime Family Dental Care 6510 Babcock Rd Suite 106 San Antonio TX 78249 Ph: (210) 558-7000 |
| NPI Number | 1720526163 |
|---|---|
| Provider Enumeration Date | 02/06/2017 |
| Last Update Date | 02/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720526163 | NPI | - | NPPES |
| 136343411 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 17028 (Texas) | Primary |
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