Organization
GERIATRIC DENTAL GROUP OF SOUTH TEXAS, PA
Active
Other names
Sarah J Dirks, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH JUNE DIRKS DDS (OWNER/PRESIDENT)
(210) 617-4446
Entity
Organization
Contact information
Practice address
5282 MEDICAL DR STE 104, SAN ANTONIO, TX 78229-4983
(210) 617-4446
(210) 617-5572
Mailing address
5282 MEDICAL DR STE 104, SAN ANTONIO, TX 78229-4983
(210) 617-4446
(210) 617-5572
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
16152
TX
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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