The Tooth Doctor | |
13618 Nw Military Hwy Shavano Park TX 78231-1804 | |
(210) 493-5555 | |
(210) 493-5561 |
Full Name | The Tooth Doctor |
---|---|
Speciality | Clinic/center - Dental |
Location | 13618 Nw Military Hwy, Shavano Park, Texas |
Authorized Official Name and Position | Nukala H Reddy (OWNER/DENTIST) |
Authorized Official Contact | 2104935555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Tooth Doctor 13618 Nw Military Hwy Shavano Park TX 78231-1804 Ph: (210) 493-5555 | The Tooth Doctor 13618 Nw Military Hwy Shavano Park TX 78231-1804 Ph: (210) 493-5555 |
NPI Number | 1356536338 |
---|---|
Provider Enumeration Date | 09/12/2007 |
Last Update Date | 09/12/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356536338 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 22740 (Texas) | Primary |
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