| Van De Walle Family Dentistry | |
|
111 Willows Springs Dr. San Marcos TX 78666-6076 | |
| (512) 878-2540 | |
| Not Available |
| Full Name | Van De Walle Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 111 Willows Springs Dr., San Marcos, Texas |
| Authorized Official Name and Position | Thomas Van De Walle (PRESIDENT) |
| Authorized Official Contact | 5128782540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Van De Walle Family Dentistry 111 Willows Springs Dr San Marcos TX 78666-6076 Ph: (512) 878-2540 | Van De Walle Family Dentistry 111 Willows Springs Dr. San Marcos TX 78666-6076 Ph: (512) 878-2540 |
| NPI Number | 1649536244 |
|---|---|
| Provider Enumeration Date | 04/09/2012 |
| Last Update Date | 06/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649536244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 21761 (Texas) | Primary |
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