Organization
BLANCO NORTH DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIGI MASSA DDS (OWNER)
(210) 493-2200
Entity
Organization
Contact information
Practice address
14341 BLANCO RD., SAN ANTONIO, TX 78216
(210) 493-2200
(210) 493-2448
Mailing address
14341 BLANCO RD., SAN ANTONIO, TX 78216
(210) 493-2200
(210) 493-2448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
08/20/2008
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