| The Tooth Doctor | |
|
13618 Nw Military Hwy Shavano Park TX 78231-1804 | |
| (210) 493-5555 | |
| (210) 493-5561 |
| Full Name | The Tooth Doctor |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13618 Nw Military Hwy, Shavano Park, 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 13618 Nw Military Hwy Shavano Park TX 78231-1804 Ph: (210) 493-5555 | The Tooth Doctor 13618 Nw Military Hwy Shavano Park TX 78231-1804 Ph: (210) 493-5555 |
| NPI Number | 1356536338 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 09/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356536338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22740 (Texas) | Primary |
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