My Local Texas Dental Practice, Pllc
NPI #1952978868 in San Antonio, Texas
Provider Information
- NPI Number
- 1952978868
- Entity Type
- Organization
- Organization Name
- My Local Texas Dental Practice, Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MY LOCAL TEXAS DENTAL PRACTICE, PLLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 9, 2021
- Last Updated
- Jun 9, 2021
Practice Location
- Address
- 21950 BULVERDE RD STE 103
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78259-2174
- Phone
- (210) 494-8850
Authorized Official
- Name
- MICHELLE JOHNSON
- Title
- CREDENTIALING SPECIALIST
- Phone
- (509) 315-8338
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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