Organization
BLANCO FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN SCOTT DDS (DENTIST)
(210) 349-9800
Entity
Organization
Contact information
Practice address
12042 BLANCO RD, SUITE 300, SAN ANTONIO, TX 78216-5440
(210) 349-9800
(210) 349-9811
Mailing address
12042 BLANCO RD, SUITE 300, SAN ANTONIO, TX 78216-5440
(210) 349-9800
(210) 349-9811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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