| Elizabeth Mattsson Dds Pllc | |
|
1202 E Sonterra Blvd Ste 502 San Antonio TX 78258-4092 | |
| (210) 349-3715 | |
| Not Available |
| Full Name | Elizabeth Mattsson Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1202 E Sonterra Blvd Ste 502, San Antonio, Texas |
| Authorized Official Name and Position | Elizabeth Mattsson (OWNER) |
| Authorized Official Contact | 2103493715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Mattsson Dds Pllc 1202 E Sonterra Blvd Ste 502 San Antonio TX 78258-4092 Ph: () - | Elizabeth Mattsson Dds Pllc 1202 E Sonterra Blvd Ste 502 San Antonio TX 78258-4092 Ph: (210) 349-3715 |
| NPI Number | 1215388020 |
|---|---|
| Provider Enumeration Date | 06/23/2016 |
| Last Update Date | 06/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215388020 | NPI | - | NPPES |
| 23987 | Other | TX | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 23987 (Texas) | Primary |
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