| Familia Dental Bc Pplc | |
|
6914 Farm To Market 78 Ste. 108 Sant Antonio TX 78244-1771 | |
| (210) 892-8484 | |
| (210) 666-0229 |
| Full Name | Familia Dental Bc Pplc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6914 Farm To Market 78, Sant Antonio, Texas |
| Authorized Official Name and Position | Brandon Alexander Taylor (CREDENTIALING & PAYER RELATIONS MAN) |
| Authorized Official Contact | 8474537396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Familia Dental Bc Pplc 2050 East Algonquin Road Suite 610 Schaumburg IL 60173-4166 Ph: (847) 453-7396 | Familia Dental Bc Pplc 6914 Farm To Market 78 Ste. 108 Sant Antonio TX 78244-1771 Ph: (210) 892-8484 |
| NPI Number | 1215163878 |
|---|---|
| Provider Enumeration Date | 06/09/2009 |
| Last Update Date | 06/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215163878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22535 (Texas) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |