# CAROUSEL DENTAL PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1871863043
- **Authorized official:** DR. BRUCE MICHAEL KRAL (PRESIDENT)
- **Authorized official phone:** (210) 824-0152

## Contact information

- **Practice address:** 1844 NACOGDOCHES ROAD, SAN ANTONIO, TX 78209-2216
- **Practice address phone:** (210) 824-0152
- **Mailing address:** 1844 NACOGDOCHES ROAD, SAN ANTONIO, TX 78209-2216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 15729 | TX | Yes |

## Other

- **Enumeration date:** 01/05/2012
- **Last updated:** 01/05/2012