Organization · Type 2 NPI
Kusom Dental Broadway PLLC
General Practice Dentistry · San Antonio, TX
NPI number
1265204622
Active
Practice location
8852 Broadway # 201
San Antonio, TX 78217-6318
Mailing address
18707 Hardy Oak Blvd Ste 305
San Antonio, TX 78258-4895
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | None listed |
| Dental Clinic/Center | 261QD0000X | None 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 1265204622
Kusom Dental Broadway PLLC's National Provider Identifier is 1265204622, issued on Oct 27, 2023. 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 May 20, 2024.