| Cibolo Denter Center PLLC | |
|
3893 Cibolo Valley Dr 104 Cibolo TX 78108 | |
| (210) 658-7200 | |
| (210) 658-7206 |
| Full Name | Cibolo Denter Center PLLC |
|---|---|
| Speciality | Dentist |
| Location | 3893 Cibolo Valley Dr, Cibolo, Texas |
| Authorized Official Name and Position | Angela Enriquez (DENTIST) |
| Authorized Official Contact | 2106587200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cibolo Denter Center PLLC 3893 Cibolo Valley Dr 104 Cibolo TX 78108 Ph: (210) 658-7200 | Cibolo Denter Center PLLC 3893 Cibolo Valley Dr 104 Cibolo TX 78108 Ph: (210) 658-7200 |
| NPI Number | 1043653892 |
|---|---|
| Provider Enumeration Date | 04/11/2013 |
| Last Update Date | 04/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043653892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
| 124Q00000X | Dental Hygienist | () | Secondary |
| 126800000X | Dental Assistant | () | Secondary |
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