# ELDER DENT OF TEXAS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366873929
- **Authorized official:** CHRISTOPHER DOANE DMD (OWNER)
- **Authorized official phone:** (502) 498-0093

## Contact information

- **Practice address:** 20079 STONE OAK PKWY STE 1105-436, SAN ANTONIO, TX 78258-6942
- **Practice address phone:** (502) 498-0093
- **Practice address fax:** (210) 881-6823
- **Mailing address:** 20079 STONE OAK PKWY STE 1105-436, SAN ANTONIO, TX 78258-6942
- **Mailing address phone:** (210) 888-0119
- **Mailing address fax:** (210) 881-6823

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 27592 | TX | Yes |

## Other

- **Enumeration date:** 12/09/2013
- **Last updated:** 01/29/2014