| Wh Family Dental Care, Lp | |
|
11212 State Highway 151 Ste # 209 San Antonio TX 78251-4498 | |
| (210) 927-1400 | |
| (210) 927-6330 |
| Full Name | Wh Family Dental Care, Lp |
|---|---|
| Speciality | Dentist |
| Location | 11212 State Highway 151, San Antonio, Texas |
| Authorized Official Name and Position | Shiva Izaddoust (PRESIDENT) |
| Authorized Official Contact | 2109271400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wh Family Dental Care, Lp 11212 State Highway 151 Ste # 209 San Antonio TX 78251-4498 Ph: (210) 927-1400 | Wh Family Dental Care, Lp 11212 State Highway 151 Ste # 209 San Antonio TX 78251-4498 Ph: (210) 927-1400 |
| NPI Number | 1619396066 |
|---|---|
| Provider Enumeration Date | 04/14/2014 |
| Last Update Date | 04/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619396066 | NPI | - | NPPES |
| 1363434-11 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 17028 (Texas) | Primary |
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