| Autumn Heights Dental Pllc | |
|
7215 N. Loop 1604 E. Unit 102 Converse TX 78109 | |
| (210) 890-4909 | |
| (210) 890-4809 |
| Full Name | Autumn Heights Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7215 N. Loop 1604 E., Converse, Texas |
| Authorized Official Name and Position | Esha Shah (OWNER) |
| Authorized Official Contact | 2134402132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Heights Dental Pllc 1311 Muleshoe Pass San Antonio TX 78258-3443 Ph: (210) 890-4909 | Autumn Heights Dental Pllc 7215 N. Loop 1604 E. Unit 102 Converse TX 78109 Ph: (210) 890-4909 |
| NPI Number | 1114644226 |
|---|---|
| Provider Enumeration Date | 10/20/2022 |
| Last Update Date | 04/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114644226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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