| The Tooth Doctor | |
|
2278 Bandera Rd Ste A San Antonio TX 78228-2162 | |
| (210) 434-3731 | |
| (210) 431-5474 |
| Full Name | The Tooth Doctor |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2278 Bandera Rd Ste A, San Antonio, Texas |
| Authorized Official Name and Position | Nukala H Reddy (OWNER/ DENTIST) |
| Authorized Official Contact | 2104935555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Tooth Doctor 2278 Bandera Rd Ste A San Antonio TX 78228-2162 Ph: (210) 434-3731 | The Tooth Doctor 2278 Bandera Rd Ste A San Antonio TX 78228-2162 Ph: (210) 434-3731 |
| NPI Number | 1568659217 |
|---|---|
| Provider Enumeration Date | 09/26/2007 |
| Last Update Date | 09/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568659217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22740 (Texas) | Primary |
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