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Kusom Dental Broadway Pllc
Dental Clinic/Center in San Antonio, Texas
NPI 1265204622

Kusom Dental Broadway Pllc is a Dental Clinic/Center based in San Antonio, TX and is specialized in Dental. Kusom Dental Broadway Pllc practices in San Antonio, TX. The NPI Number for Kusom Dental Broadway Pllc is 1265204622 and holds a License No. (Texas).

The current practice location address for Kusom Dental Broadway Pllc is 16170 Jones Maltsberger Rd Ste 201, San Antonio, TX and can be reached out via phone at 210-888-0700.

Location: 16170 Jones Maltsberger Rd Ste 201, San Antonio, TX, 78258-4895
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265204622
Provider Name
Kusom Dental Broadway Pllc
Credential
Provider Entity Type
Organization
Address
16170 Jones Maltsberger Rd Ste 201, San Antonio, TX, 78258-4895
Phone Number
210-888-0700
Fax Number
Provider Enumeration Date
10/27/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
16170 Jones Maltsberger Rd Ste 201
City
San Antonio
State
Texas
Zip
78247-3204
Phone Number
210-888-0700
Fax Number
person
Provider Business Mailing Address Details
Address
16170 Jones Maltsberger Rd Ste 201
City
San Antonio
State
Texas
Zip
78247-3204
Phone Number
210-888-0700
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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