| Texan Smile Dentistry 2 Pc | |
|
6301 Nw Loop 410 #l-1a San Antonio TX 78238-3824 | |
| (210) 354-4867 | |
| (210) 681-6985 |
| Full Name | Texan Smile Dentistry 2 Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6301 Nw Loop 410, San Antonio, Texas |
| Authorized Official Name and Position | Bertha Elizabeth Rodriguez (REGIONAL MANAGER) |
| Authorized Official Contact | 2103544867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texan Smile Dentistry 2 Pc 6301 Nw Loop 410 #l-1a San Antonio TX 78238-3824 Ph: (210) 354-4867 | Texan Smile Dentistry 2 Pc 6301 Nw Loop 410 #l-1a San Antonio TX 78238-3824 Ph: (210) 354-4867 |
| NPI Number | 1821307984 |
|---|---|
| Provider Enumeration Date | 10/06/2010 |
| Last Update Date | 10/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821307984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 15889 (Texas) | Primary |
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