| Lanese Family Dental,pa | |
|
6502 Bandera Rd Ste 201 San Antonio TX 78238-1400 | |
| (210) 684-5040 | |
| (210) 682-7785 |
| Full Name | Lanese Family Dental,pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6502 Bandera Rd, San Antonio, Texas |
| Authorized Official Name and Position | Claudette Morales (OFFICE MGR) |
| Authorized Official Contact | 2106845040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lanese Family Dental,pa 6502 Bandera Rd Ste 201 San Antonio TX 78238-1400 Ph: (210) 684-5040 | Lanese Family Dental,pa 6502 Bandera Rd Ste 201 San Antonio TX 78238-1400 Ph: (210) 684-5040 |
| NPI Number | 1023387800 |
|---|---|
| Provider Enumeration Date | 12/22/2011 |
| Last Update Date | 12/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023387800 | NPI | - | NPPES |
| 11189001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18063 (Texas) | Primary |
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