# DEERFIELD DENTAL

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

## Provider details

- **NPI number:** 1942518626
- **Authorized official:** DR. IRENE KIANSKY BLAESS (VICE PRESIDENT)
- **Authorized official phone:** (210) 445-7915

## Contact information

- **Practice address:** 14855 BLANCO RD STE 413, SAN ANTONIO, TX 78216-7731
- **Practice address phone:** (210) 408-6000
- **Mailing address:** 5999 DE ZAVALA RD STE 122, SAN ANTONIO, TX 78249-2236
- **Mailing address phone:** (210) 408-6000
- **Mailing address fax:** (210) 561-2599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 19006 | TX | Yes |

## Other

- **Enumeration date:** 09/16/2010
- **Last updated:** 09/16/2010