| West Avenue Family Dental | |
|
12251 West Ave San Antonio TX 78216-2518 | |
| (210) 342-6734 | |
| (210) 375-1396 |
| Full Name | West Avenue Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12251 West Ave, San Antonio, Texas |
| Authorized Official Name and Position | Kathleen B Fonseca (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 2108772273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Avenue Family Dental 11115 Wurzbach Rd San Antonio TX 78230-2643 Ph: (210) 877-2273 | West Avenue Family Dental 12251 West Ave San Antonio TX 78216-2518 Ph: (210) 342-6734 |
| NPI Number | 1033660725 |
|---|---|
| Provider Enumeration Date | 10/18/2016 |
| Last Update Date | 10/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033660725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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