| Woodlake Dental Group | |
|
6735 Fm 78 Ste. 101 San Antonio TX 78244-1367 | |
| (210) 661-6200 | |
| (210) 661-6684 |
| Full Name | Woodlake Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6735 Fm 78, San Antonio, Texas |
| Authorized Official Name and Position | Carlos Freymann (PRESIDENT) |
| Authorized Official Contact | 2106616200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodlake Dental Group 6735 Fm 78 Ste. 101 San Antonio TX 78244-1367 Ph: (210) 661-6200 | Woodlake Dental Group 6735 Fm 78 Ste. 101 San Antonio TX 78244-1367 Ph: (210) 661-6200 |
| NPI Number | 1588801302 |
|---|---|
| Provider Enumeration Date | 01/15/2009 |
| Last Update Date | 01/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588801302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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