Organization
PAX DENTAL
Active
Other names
Pax Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLAS JOHN RICHARDS DDS (OWNER DENTIST)
(210) 454-1997
Entity
Organization
Contact information
Practice address
5311 N LOOP 1604 W STE 123, SAN ANTONIO, TX 78249-4392
(210) 276-0600
Mailing address
11327 EXPO BLVD APT 308, SAN ANTONIO, TX 78230-1739
(210) 454-1997
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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