| Orly Dental Pc | |
|
4935 W Commerce St San Antonio TX 78237-1508 | |
| (210) 438-0700 | |
| (210) 438-0701 |
| Full Name | Orly Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 4935 W Commerce St, San Antonio, Texas |
| Authorized Official Name and Position | Orlando Ortiz (PRESIDENT) |
| Authorized Official Contact | 2818572961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orly Dental Pc 4935 W Commerce St San Antonio TX 78237-1508 Ph: (210) 438-0700 | Orly Dental Pc 4935 W Commerce St San Antonio TX 78237-1508 Ph: (210) 438-0700 |
| NPI Number | 1275829368 |
|---|---|
| Provider Enumeration Date | 06/27/2011 |
| Last Update Date | 06/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275829368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 18773 (Texas) | Primary |
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