| Cresta Bella Dental And Braces | |
|
19787 Ih 10 W Ste 204 San Antonio TX 78257-1695 | |
| (210) 598-6002 | |
| Not Available |
| Full Name | Cresta Bella Dental And Braces |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 19787 Ih 10 W Ste 204, San Antonio, Texas |
| Authorized Official Name and Position | Dave Goldwyn Jequinto (OWNER/DENTIST) |
| Authorized Official Contact | 2105986002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cresta Bella Dental And Braces 19787 Ih 10 W Ste 204 San Antonio TX 78257-1695 Ph: (210) 598-6002 | Cresta Bella Dental And Braces 19787 Ih 10 W Ste 204 San Antonio TX 78257-1695 Ph: (210) 598-6002 |
| NPI Number | 1093475212 |
|---|---|
| Provider Enumeration Date | 12/29/2021 |
| Last Update Date | 12/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093475212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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