SOUTH PARK FAMILY DENTAL CARE PA

SAN ANTONIO, TX
NPI1467586768
Entity TypeOrganization
Authorized ContactSHIVA IZADDOUST
President
210-927-1400
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2007-03-16
Last Update Date2011-05-24
Business Address
SOUTH PARK FAMILY DENTAL CARE PA
2310 SW MILITARY DR STE 406
SAN ANTONIO, TX 78224-1407
Phone number: 210-927-1400
Mailing Address
SOUTH PARK FAMILY DENTAL CARE PA
2310 SW MILITARY DR STE 406
SAN ANTONIO, TX 78224-1407
Phone number: 210-927-1400