| The Dental Space | |
|
1101 Thorpe Ln Ste 101 San Marcos TX 78666-7139 | |
| (214) 493-1216 | |
| (214) 292-8661 |
| Full Name | The Dental Space |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1101 Thorpe Ln Ste 101, San Marcos, Texas |
| Authorized Official Name and Position | Nina Abtahi (MANGER) |
| Authorized Official Contact | 2144931216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dental Space 1101 Thorpe Ln Ste 101 San Marcos TX 78666-7139 Ph: (214) 493-1216 | The Dental Space 1101 Thorpe Ln Ste 101 San Marcos TX 78666-7139 Ph: (214) 493-1216 |
| NPI Number | 1720602923 |
|---|---|
| Provider Enumeration Date | 06/03/2020 |
| Last Update Date | 06/03/2020 |
| Certification Date | 06/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720602923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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