Organization · Type 2 NPI
Autumn Heights Dental PLLC
Dental Clinic/Center · Converse, TX
NPI number
1114644226
Active
Practice location
7215 N. Loop 1604 E., Unit 102
Converse, TX 78109
Fax (210) 890-4809
Mailing address
1311 Muleshoe Pass
San Antonio, TX 78258-3443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Converse
About NPI 1114644226
Autumn Heights Dental PLLC's National Provider Identifier is 1114644226, issued on Oct 20, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Converse, TX. The record was last updated on Apr 22, 2023.