| Wisdom Teeth Rx Pllc | |
|
7254 Blanco Rd Ste 107 San Antonio TX 78216-4930 | |
| (210) 817-4480 | |
| Not Available |
| Full Name | Wisdom Teeth Rx Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7254 Blanco Rd Ste 107, San Antonio, Texas |
| Authorized Official Name and Position | Rahul Malya (MANAGING MEMBER) |
| Authorized Official Contact | 5129857516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisdom Teeth Rx Pllc 4832 Trail Crest Cir Austin TX 78735-6355 Ph: (512) 985-7516 | Wisdom Teeth Rx Pllc 7254 Blanco Rd Ste 107 San Antonio TX 78216-4930 Ph: (210) 817-4480 |
| NPI Number | 1538837851 |
|---|---|
| Provider Enumeration Date | 09/01/2021 |
| Last Update Date | 09/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538837851 | NPI | - | NPPES |
| 1720368632 | Other | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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