Organization
DIANNE DENTAL PLLC
Active
Other names
Park Hill Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE GISELLE GALAN (OWNER/DENTIST)
(210) 865-0479
Entity
Organization
Contact information
Practice address
4115 POND HILL RD UNIT 102, SHAVANO PARK, TX 78231
(210) 865-0479
(210) 686-2866
Mailing address
4115 POND HILL RD UNIT 102, SHAVANO PARK, TX 78231
(210) 865-0479
(210) 686-2866
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194333419
PPO
—
Enumeration date
09/17/2021
Last updated
09/17/2021
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