# BOERNE TX FAMILTY DENTISTRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Boerne Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972017069
- **Authorized official:** LUIGI MASSA DO,DDS (OWNER/DENTIST)
- **Authorized official phone:** (830) 660-1669

## Contact information

- **Practice address:** 1361 S MAIN ST STE 201, BOERNE, TX 78006-2863
- **Practice address phone:** (830) 816-6111
- **Practice address fax:** (830) 249-6111
- **Mailing address:** 1361 S MAIN ST STE 201, BOERNE, TX 78006-2863
- **Mailing address phone:** (830) 816-6111
- **Mailing address fax:** (830) 249-6111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 22462 | TX | Yes |

## Other

- **Enumeration date:** 11/28/2017
- **Last updated:** 11/28/2017