| Celebraces Walzem Pllc | |
|
5201 Walzem Rd Windcrest TX 78218-2122 | |
| (210) 683-6353 | |
| (210) 451-0000 |
| Full Name | Celebraces Walzem Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5201 Walzem Rd, Windcrest, Texas |
| Authorized Official Name and Position | David B Ferguson (MANAGING OFFICER) |
| Authorized Official Contact | 2106836353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Celebraces Walzem Pllc 5201 Walzem Rd Windcrest TX 78218-2122 Ph: (210) 683-6353 | Celebraces Walzem Pllc 5201 Walzem Rd Windcrest TX 78218-2122 Ph: (210) 683-6353 |
| NPI Number | 1487038428 |
|---|---|
| Provider Enumeration Date | 07/18/2015 |
| Last Update Date | 07/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487038428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 24904 (Texas) | Primary |
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