Tx Southern Dental Ppo Pc | |
18518 Hardy Oak Blvd Ste 200 San Antonio TX 78258-4761 | |
(210) 496-7000 | |
Not Available |
Full Name | Tx Southern Dental Ppo Pc |
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Speciality | Dentist - General Practice |
Location | 18518 Hardy Oak Blvd Ste 200, San Antonio, Texas |
Authorized Official Name and Position | Christine Nelson (VP, REVENUE CYCLE) |
Authorized Official Contact | 4694506482 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tx Southern Dental Ppo Pc 5830 Granite Pkwy Ste 780 Plano TX 75024-6775 Ph: (469) 450-6482 | Tx Southern Dental Ppo Pc 18518 Hardy Oak Blvd Ste 200 San Antonio TX 78258-4761 Ph: (210) 496-7000 |
NPI Number | 1225719511 |
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Provider Enumeration Date | 07/28/2023 |
Last Update Date | 07/28/2023 |
Identifier | Type | State | Issuer |
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1225719511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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