Organization
BOERNE TX FAMILTY DENTISTRY PLLC
Active
Other names
Boerne Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
LUIGI MASSA DO,DDS (OWNER/DENTIST)
(830) 660-1669
Entity
Organization
Contact information
Practice address
1361 S MAIN ST STE 201, BOERNE, TX 78006-2863
(830) 816-6111
(830) 249-6111
Mailing address
1361 S MAIN ST STE 201, BOERNE, TX 78006-2863
(830) 816-6111
(830) 249-6111
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22462
TX
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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