# AVP DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SA FAMILY DENTIST
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063118768
- **Authorized official:** DR. VAIDEHI MEHTA (DIRECTOR)
- **Authorized official phone:** (781) 502-8731

## Contact information

- **Practice address:** 9696 BRAUN RD, SAN ANTONIO, TX 78254-6130
- **Practice address phone:** (781) 502-8731
- **Mailing address:** 2642 DOLCETTO GRV, SAN ANTONIO, TX 78259-1862
- **Mailing address phone:** (781) 502-8731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/03/2023
- **Last updated:** 02/03/2023