| Tx-desai Dental San Antonio San Pedro Pllc | |
|
327 Nw Loop 410 Ste 101 San Antonio TX 78216-5304 | |
| (315) 454-6000 | |
| Not Available |
| Full Name | Tx-desai Dental San Antonio San Pedro Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 327 Nw Loop 410 Ste 101, San Antonio, Texas |
| Authorized Official Name and Position | Jagruti Desai (OWNER) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tx-desai Dental San Antonio San Pedro Pllc Po Box 3189 Syracuse NY 13220-3189 Ph: (315) 454-6000 | Tx-desai Dental San Antonio San Pedro Pllc 327 Nw Loop 410 Ste 101 San Antonio TX 78216-5304 Ph: (315) 454-6000 |
| NPI Number | 1578999678 |
|---|---|
| Provider Enumeration Date | 09/20/2013 |
| Last Update Date | 09/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578999678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 29090 (Texas) | Primary |
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