Organization
INGRAM HILLS DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE M BISHOP DDS (MANAGER)
(210) 435-4601
Entity
Organization
Contact information
Practice address
4496 CALLAGHAN RD, SAN ANTONIO, TX 78228-3400
(210) 435-4601
Mailing address
4496 CALLAGHAN RD, SAN ANTONIO, TX 78228-3400
(210) 435-4601
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22167
TX
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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