Organization
BOERNE DENTAL CENTER
Active
Parent organization
YES
Organization subpart
Yes
Provider details
NPI number
Legal business name
YES
Authorized official
MS. JANELLE MARKS (FRONT OFFICE)
(830) 249-2045
Entity
Organization
Contact information
Practice address
32350 INTERSTATE 10 W, BOERNE, TX 78006-9214
(830) 249-2045
(830) 249-6076
Mailing address
32350 INTERSTATE 10 W, BOERNE, TX 78006-9214
(830) 249-2045
(830) 249-6076
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
15320
TX
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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