| Dianne Dental Pllc | |
|
4115 Pond Hill Rd Unit 102 Shavano Park TX 78231 | |
| (210) 865-0479 | |
| (210) 686-2866 |
| Full Name | Dianne Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4115 Pond Hill Rd Unit 102, Shavano Park, Texas |
| Authorized Official Name and Position | Dianne Giselle Galan (OWNER/DENTIST) |
| Authorized Official Contact | 2108650479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dianne Dental Pllc 4115 Pond Hill Rd Unit 102 Shavano Park TX 78231 Ph: (210) 865-0479 | Dianne Dental Pllc 4115 Pond Hill Rd Unit 102 Shavano Park TX 78231 Ph: (210) 865-0479 |
| NPI Number | 1659041911 |
|---|---|
| Provider Enumeration Date | 09/17/2021 |
| Last Update Date | 09/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659041911 | NPI | - | NPPES |
| 1194333419 | Other | PPO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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