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Organization
PREMIER DENTAL-SAN ANTONIO, PLLC
Active
Organization
PREMIER DENTAL-SAN ANTONIO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIGI MASSA DDS (OWNER)
(210) 494-8850
Entity
Organization
Contact information
Practice address
21950 BULVERDE RD, #103, SAN ANTONIO, TX 78259-2144
(210) 494-8850
Mailing address
21950 BULVERDE RD #103, SAN ANTONIO, TX 78259
(210) 494-8850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22462
TX
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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