| Tx Sds Iii, Llc | |
|
110 Chichester Pl Ste 100 San Antonio TX 78209-5374 | |
| (210) 824-2333 | |
| Not Available |
| Full Name | Tx Sds Iii, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 110 Chichester Pl Ste 100, San Antonio, Texas |
| Authorized Official Name and Position | Charlotte E Vial (DIREC OF CRED AND PROV REL) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tx Sds Iii, Llc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (615) 678-0759 | Tx Sds Iii, Llc 110 Chichester Pl Ste 100 San Antonio TX 78209-5374 Ph: (210) 824-2333 |
| NPI Number | 1255104261 |
|---|---|
| Provider Enumeration Date | 11/01/2023 |
| Last Update Date | 11/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255104261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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