NPI: 1841290137
Provider Name: NORTHWEST DENTAL MANAGEMENT, PA
Doing Business As: MARY B. MELLARD, DDS
Classification: Dentist - 1223G0001X
Entity Type: Organization
Specialization: General Practice
Address:
24200 W IH 10
SUITE 112
SAN ANTONIO, TX
ZIP 78257
Phone: (210) 687-1133
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NORTHWEST DENTAL MANAGEMENT, PA 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. NORTHWEST DENTAL MANAGEMENT, PA NPI is 1841290137. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Mary B. Mellard, Dds.
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 B 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 7/28/2005 and was last updated on 3/26/2010.