Vincent Fontana, Jr., D.d.s., Inc. | |
207 W Sunset Rd San Antonio TX 78209-2634 | |
(210) 826-9523 | |
(210) 826-9524 |
Full Name | Vincent Fontana, Jr., D.d.s., Inc. |
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Speciality | Clinic/center - Dental |
Location | 207 W Sunset Rd, San Antonio, Texas |
Authorized Official Name and Position | Vincent Fontana (PRESIDENT) |
Authorized Official Contact | 2108269523 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vincent Fontana, Jr., D.d.s., Inc. 207 W Sunset Rd San Antonio TX 78209-2634 Ph: (210) 826-9523 | Vincent Fontana, Jr., D.d.s., Inc. 207 W Sunset Rd San Antonio TX 78209-2634 Ph: (210) 826-9523 |
NPI Number | 1013910009 |
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Provider Enumeration Date | 05/24/2005 |
Last Update Date | 03/04/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013910009 | NPI | - | NPPES |
TXB113099 | Other | MEDICARE | |
D10506 | Other | TX | BLUE CROSS BLUE SHIELD |
821950 | Other | TX | UNITED CONCORDIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 10506 (Texas) | Primary |
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