| Endeavor Dental PLLC | |
|
2251 Fm 1103 Ste 116 Cibolo TX 78108-4085 | |
| (210) 951-9023 | |
| Not Available |
| Full Name | Endeavor Dental PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 2251 Fm 1103 Ste 116, Cibolo, Texas |
| Authorized Official Name and Position | Richard Sanchez (DENTIST) |
| Authorized Official Contact | 2109519023 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endeavor Dental PLLC 2251 Fm 1103 Ste 116 Cibolo TX 78108-4085 Ph: (210) 951-9023 | Endeavor Dental PLLC 2251 Fm 1103 Ste 116 Cibolo TX 78108-4085 Ph: (210) 951-9023 |
| NPI Number | 1134966856 |
|---|---|
| Provider Enumeration Date | 07/10/2024 |
| Last Update Date | 07/11/2024 |
| Certification Date | 07/11/2024 |
| Medicare PECOS PAC ID | 8325575442 |
|---|---|
| Medicare Enrollment ID | O20241231000603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134966856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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