GREAT WHITE DENTAL PLLC NPI 1013558998

NPI Information

GREAT WHITE DENTAL PLLC is a general practice dentist in San Antonio, TX. The provider is 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. GREAT WHITE DENTAL PLLC NPI is 1013558998. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

238 SW MILITARY DR STE 104
SAN ANTONIO, TX
ZIP 78221-657
Phone: (210) 853-5600
Fax: (833) 790-3376

The provider's authorized official is Alejandro Martinez Alvarado .
The authorized official title is Dentist and has the following contact phone number (210) 853-5600.

The enumeration date for this NPI number is 10/2/2019 and was last updated on 10/2/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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