SD- 4315FREDERICK PC

SAN ANTONIO, TX
NPI1174074496
Entity TypeOrganization
Authorized ContactLYNHTHY THY PHAM
President
214-718-6052
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  19887)
Enumeration Date2016-10-21
Last Update Date2021-12-17
Business Address
SD- 4315FREDERICK PC
4522 FREDERICKSBURG RD A28
SAN ANTONIO, TX 78201-6547
Phone number: 210-530-8841
Mailing Address
SD- 4315FREDERICK PC
10901 GARLAND RD
DALLAS, TX 75218-2613
Phone number: 214-466-1400