Organization
DEERFIELD DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRENE KIANSKY BLAESS (VICE PRESIDENT)
(210) 445-7915
Entity
Organization
Contact information
Practice address
14855 BLANCO RD STE 413, SAN ANTONIO, TX 78216-7731
(210) 408-6000
Mailing address
5999 DE ZAVALA RD STE 122, SAN ANTONIO, TX 78249-2236
(210) 408-6000
(210) 561-2599
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19006
TX
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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