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Dianne Dental Pllc
Dental Clinic/Center in Shavano Park, Texas
NPI 1659041911

Dianne Dental Pllc is a Dental Clinic/Center based in Shavano Park, TX and is specialized in Dental. Dianne Dental Pllc practices in Shavano Park, TX. The NPI Number for Dianne Dental Pllc is 1659041911 and holds a License No. (Texas).

The current practice location address for Dianne Dental Pllc is 4115 Pond Hill Rd Unit 102, Shavano Park, TX and can be reached out via phone at 210-865-0479 and via fax at 210-686-2866.

Location: 4115 Pond Hill Rd Unit 102, Shavano Park, TX, 78231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659041911
Provider Name
Dianne Dental Pllc
Credential
Provider Entity Type
Organization
Address
4115 Pond Hill Rd Unit 102, Shavano Park, TX, 78231
Phone Number
210-865-0479
Fax Number
210-686-2866
Provider Enumeration Date
09/17/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1194333419 01 PPO
institution
Provider Business Practice Location Address Details
Address
4115 Pond Hill Rd Unit 102
City
Shavano Park
State
Texas
Zip
78231
Phone Number
210-865-0479
Fax Number
210-686-2866
person
Provider Business Mailing Address Details
Address
4115 Pond Hill Rd Unit 102
City
Shavano Park
State
Texas
Zip
78231
Phone Number
210-865-0479
Fax Number
210-686-2866
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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