| Xlnt Dental Pllc | |
|
504 E Gravis St San Diego TX 78384-2708 | |
| (201) 970-9158 | |
| Not Available |
| Full Name | Xlnt Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 504 E Gravis St, San Diego, Texas |
| Authorized Official Name and Position | Daniela Marie P Punzalan (OWNER/ GENERAL DENTIST) |
| Authorized Official Contact | 2019709158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Xlnt Dental Pllc 3130 Canaveral Dr San Antonio TX 78217-4007 Ph: (210) 970-9158 | Xlnt Dental Pllc 504 E Gravis St San Diego TX 78384-2708 Ph: (201) 970-9158 |
| NPI Number | 1346780566 |
|---|---|
| Provider Enumeration Date | 03/07/2017 |
| Last Update Date | 03/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346780566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30778 (Texas) | Primary |