Organization · Type 2 NPI
Boerne TX Familty Dentistry PLLC
Dental Clinic/Center · Boerne, TX
NPI number
1972017069
Active
Practice location
1361 S Main St Ste 201
Boerne, TX 78006-2863
Fax (830) 249-6111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 22462 (TX) |
Dental Clinic/Center: Definition to come...
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About NPI 1972017069
Boerne TX Familty Dentistry PLLC's National Provider Identifier is 1972017069, issued on Nov 28, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Boerne, TX. The record was last updated on Nov 28, 2017.