Familia Dental Bc Pplc
NPI #1215163878 in Sant Antonio, Texas
Provider Information
- NPI Number
- 1215163878
- Entity Type
- Organization
- Organization Name
- Familia Dental Bc Pplc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 9, 2009
- Last Updated
- Jun 25, 2021
Practice Location
- Address
- 6914 FARM TO MARKET 78
- Address 2
- STE. 108
- City
- Sant Antonio
- State
- Texas
- ZIP Code
- 78244-1771
- Phone
- (210) 892-8484
Authorized Official
- Name
- MR. BRANDON ALEXANDER TAYLOR, CPCS
- Title
- CREDENTIALING & PAYER RELATIONS MAN
- Phone
- (847) 453-7396
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Clinic/Center - Dental — Dental |
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