Organization
DENTAL REPUBLIC - BANDERA, PC
Active
Other names
Dental Republic
Organization subpart
No
Provider details
NPI number
Authorized official
SON NAM TRAN DDS (DENTIST/PRESIDENT)
(214) 960-3535
Entity
Organization
Contact information
Practice address
5720 BANDERA RD, SUITE 22, SAN ANTONIO, TX 78238-1985
(210) 888-8308
(210) 888-8309
Mailing address
2515 MCKINNEY AVE, SUITE 940, DALLAS, TX 75201-1908
(214) 747-1400
(214) 242-4455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20960
TX
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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