MELLARD DENTISTRY AT LEON SPRINGS NPI 1205168473

NPI Information

MELLARD DENTISTRY AT LEON SPRINGS 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. MELLARD DENTISTRY AT LEON SPRINGS NPI is 1205168473. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

24200 W IH 10
SUITE 112
SAN ANTONIO, TX
ZIP 78257-145
Phone: (210) 687-1133
Fax: (210) 687-1132

The provider's authorized official is Mary Mellard .
The authorized official title is President and has the following contact phone number (210) 687-1133.

The enumeration date for this NPI number is 2/12/2010 and was last updated on 2/12/2010.

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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