Individual
DR. VISHAL PANCHMATIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1700 SIDNEY BAKER ST STE 200, KERRVILLE, TX 78028
(830) 355-4488
Mailing address
25051 W INTERSTATE 10 APT 4206, SAN ANTONIO, TX 78257-9013
(503) 270-7319
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
27279
TX
Other
Enumeration date
08/02/2011
Last updated
08/24/2018
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