| Lonestar Braces PLLC | |
|
9163 Fm 78 Ste 1 Converse TX 78109-2148 | |
| (210) 971-8989 | |
| Not Available |
| Full Name | Lonestar Braces PLLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9163 Fm 78 Ste 1, Converse, Texas |
| Authorized Official Name and Position | Khushbu Malhotra (ASSISTANT DIRECTOR) |
| Authorized Official Contact | 6178344646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lonestar Braces PLLC 10615 Ysamy Way San Antonio TX 78213-1659 | Lonestar Braces PLLC 9163 Fm 78 Ste 1 Converse TX 78109-2148 Ph: (210) 971-8989 |
| NPI Number | 1285355115 |
|---|---|
| Provider Enumeration Date | 09/08/2022 |
| Last Update Date | 05/15/2023 |
| Certification Date | 05/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285355115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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