Organization
BULVERDE PREMIER DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETHANY ENDERLE (PRACTICE DIRECTOR)
(830) 980-8099
Entity
Organization
Contact information
Practice address
20540 HIGHWAY 46 W STE 100, SPRING BRANCH, TX 78070-6825
(830) 980-8099
Mailing address
20540 HIGHWAY 46 W STE 100, SPRING BRANCH, TX 78070-6825
(830) 980-8099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
TX
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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