| Summit Dental Center, L.p. | |
|
3949 Fredericksburg Rd San Antonio TX 78201-3231 | |
| (210) 785-8555 | |
| (210) 785-8300 |
| Full Name | Summit Dental Center, L.p. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3949 Fredericksburg Rd, San Antonio, Texas |
| Authorized Official Name and Position | Essa A Kawaja (DENTIST/OWNER) |
| Authorized Official Contact | 8326730999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Dental Center, L.p. 1812 Durham Dr Suite A Houston TX 77007-2256 Ph: (832) 673-0999 | Summit Dental Center, L.p. 3949 Fredericksburg Rd San Antonio TX 78201-3231 Ph: (210) 785-8555 |
| NPI Number | 1275920563 |
|---|---|
| Provider Enumeration Date | 04/24/2015 |
| Last Update Date | 04/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275920563 | NPI | - | NPPES |
| 193400000X | Other | TX | DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17989 (Texas) | Primary |
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