PAN AM DENTAL LP NPI 1750409686

NPI Information

PAN AM DENTAL LP is a clinic center in San Antonio, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PAN AM DENTAL LP NPI is 1750409686. The provider is registered as an organization entity type.
The provider Other Name Is Dental Office.

The provider's business location address is:

600 DIVISION AVE
SUITE A
SAN ANTONIO, TX
ZIP 78214-350
Phone: (210) 342-2000
Fax: (210) 342-2517

The provider's authorized official is Barbara Mata .
The authorized official title is Office Manager and has the following contact phone number (210) 342-2000.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 4/25/2012.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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