| Vincent Fontana, Jr., D.d.s., Inc. | |
|
207 W Sunset Rd San Antonio TX 78209-2634 | |
| (210) 826-9523 | |
| (210) 826-9524 |
| Full Name | Vincent Fontana, Jr., D.d.s., Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 207 W Sunset Rd, San Antonio, Texas |
| Authorized Official Name and Position | Vincent Fontana (PRESIDENT) |
| Authorized Official Contact | 2108269523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent Fontana, Jr., D.d.s., Inc. 207 W Sunset Rd San Antonio TX 78209-2634 Ph: (210) 826-9523 | Vincent Fontana, Jr., D.d.s., Inc. 207 W Sunset Rd San Antonio TX 78209-2634 Ph: (210) 826-9523 |
| NPI Number | 1013910009 |
|---|---|
| Provider Enumeration Date | 05/24/2005 |
| Last Update Date | 03/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013910009 | NPI | - | NPPES |
| TXB113099 | Other | MEDICARE | |
| D10506 | Other | TX | BLUE CROSS BLUE SHIELD |
| 821950 | Other | TX | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 10506 (Texas) | Primary |
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› Verified 2 days ago
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