INGRAM MALL FDCPA 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. INGRAM MALL FDCPA NPI is 1073885729. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
6301 NW LOOP 410 STE L1A
SAN ANTONIO, TX
ZIP 78238-829
Phone: (210) 354-4867
Fax: (210) 681-6985
The provider's authorized official is Cyndee Castillo .
The authorized official title is Office Manager and has the following contact phone number (210) 354-4867.
The enumeration date for this NPI number is 1/27/2012 and was last updated on 1/27/2012.