SOUTH PARK PLAZA DENTAL PLLC NPI 1669846119

NPI Information

SOUTH PARK PLAZA 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. SOUTH PARK PLAZA DENTAL PLLC NPI is 1669846119. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2327 SW MILITARY DR
STE.102
SAN ANTONIO, TX
ZIP 78224-428
Phone: (210) 572-2393

The provider's authorized official is Andrew Scraver .
The authorized official title is Owner and has the following contact phone number (210) 572-2393.

The enumeration date for this NPI number is 11/20/2015 and was last updated on 11/20/2015.

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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