Organization · Type 2 NPI

Ingram Mall Fdcpa

General Practice Dentistry · San Antonio, TX

NPI number 1073885729 Active

Practice location

6301 NW Loop 410 Ste L1A
San Antonio, TX 78238-3829

Call (210) 354-4867 Map

Fax (210) 681-6985

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1073885729

Ingram Mall Fdcpa's National Provider Identifier is 1073885729, issued on Jan 27, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Antonio, TX. The record was last updated on Jan 27, 2012.