Pan Am Dental LP
Clinic/Center in San Antonio, TX. Organization (NPI-2).
NPI number1750409686
StatusActive
Last updated in NPPESApr 25, 2012
Details
- NPI
- 1750409686
- Entity type
- Organization (NPI-2)
- Legal business name
- Pan Am Dental LP
- Organization subpart
- No
- Enumeration date
- Mar 27, 2007
- Last updated
- Apr 25, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 20173 | TX | Yes |
| 261Q00000X | Clinic/Center | 20176 | TX |
Other names
- Dental Office (Other Name)
Practice location
600 Division AveSuite A
San Antonio, TX 78214-1350
Phone 210-342-2000 · Fax 210-342-2517
Mailing address
8261 Fredericksburg RdSan Antonio, TX 78229-3357
Phone 210-924-7277 · Fax 210-922-5199
Authorized official
Barbara Mata
Office Manager
2103422000
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