# DIANNE DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Park Hill Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659041911
- **Authorized official:** DIANNE GISELLE GALAN (OWNER/DENTIST)
- **Authorized official phone:** (210) 865-0479

## Contact information

- **Practice address:** 4115 POND HILL RD UNIT 102, SHAVANO PARK, TX 78231
- **Practice address phone:** (210) 865-0479
- **Practice address fax:** (210) 686-2866
- **Mailing address:** 4115 POND HILL RD UNIT 102, SHAVANO PARK, TX 78231
- **Mailing address phone:** (210) 865-0479
- **Mailing address fax:** (210) 686-2866

## Taxonomy

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

## Other

- **Enumeration date:** 09/17/2021
- **Last updated:** 09/17/2021