Organization
MILLENNIUM DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONCIO GARZA DDS (OWNER)
(830) 438-5415
Entity
Organization
Contact information
Practice address
30070 HWY 281 NORTH, SUITE 200, BULVERDE, TX 78163
(830) 438-5415
Mailing address
30070 HWY 281 NORTH, SUITE 200, BULVERDE, TX 78163
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144002609
—
TX
Enumeration date
02/25/2019
Last updated
02/25/2019
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