Organization
COMPASSIONATE DENTISTS PLLC
Active
Other names
Fifty Plus Dental, Geriatric Dental Group of South Texas, Geriatric Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN NOLF (REGISTERED AGENT / COO)
(210) 617-4446
Entity
Organization
Contact information
Practice address
5282 MEDICAL DR STE 104, SAN ANTONIO, TX 78229-4983
(210) 617-4446
Mailing address
5282 MEDICAL DR STE 104, SAN ANTONIO, TX 78229-4983
(210) 617-4446
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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