Organization
ALAMO HEIGHTS PERIODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONICA ALANA FLYNN DMD (DIRECTOR)
(210) 822-7002
Entity
Organization
Contact information
Practice address
7231 BROADWAY ST, SAN ANTONIO, TX 78209-3701
(210) 822-7002
(210) 824-1433
Mailing address
7231 BROADWAY ST, SAN ANTONIO, TX 78209-3701
(210) 822-7002
(210) 824-1433
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
20683
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1360869
UNITED CONCORDIA ID
—
Enumeration date
05/16/2007
Last updated
08/22/2020
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