| Texas Star Dental Center Pa | |
|
7706 Bandera Road Suite 101 San Antonio TX 78238 | |
| (210) 523-2700 | |
| (210) 523-2701 |
| Full Name | Texas Star Dental Center Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7706 Bandera Road, San Antonio, Texas |
| Authorized Official Name and Position | Samer Bsoul (OWNER) |
| Authorized Official Contact | 2106822700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Star Dental Center Pa 7706 Bandera Road Suite 101 San Antonio TX 78238 Ph: (210) 523-2700 | Texas Star Dental Center Pa 7706 Bandera Road Suite 101 San Antonio TX 78238 Ph: (210) 523-2700 |
| NPI Number | 1366869273 |
|---|---|
| Provider Enumeration Date | 03/28/2014 |
| Last Update Date | 11/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366869273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21747 (Texas) | Primary |
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