Organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Active
Parent organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Other names
Lifetime Dental at San Pedro
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Authorized official
CASSANDRA TEUTSCH (CREDENTIALING COORDINATOR)
(217) 540-8972
Entity
Organization
Contact information
Practice address
13341 SAN PEDRO AVE, SAN ANTONIO, TX 78216-2056
(210) 499-4746
Mailing address
13341 SAN PEDRO AVE, SAN ANTONIO, TX 78216-2056
(210) 499-4746
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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