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NPI Code Detail

MEDICARE: BORGFELD DENTAL CENTER PLLC

MEDICARE: BORGFELD DENTAL CENTER PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center
2332BC3200XCustomized Equipment (DME)
31223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1013631811
Entity Type Code : Organization
Provider Name (Legal Business Name) : BORGFELD DENTAL CENTER PLLC
Provider Business Mailing Address
First Line : 7831 VANITY HL
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78256-2507
Country : US
Telephone Number : 254-498-4005
Fax Number :
Provider Business Practice Location Address
First Line : 9240 GUILBEAU RD STE 128
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78250-3091
Country : US
Telephone Number : 254-498-4005
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : DR. HIBA ABUSAID
Credential : DDS
Telephone Number : 254-498-4005
Provider Enumeration Date : 09/27/2022
Last Update Date : 09/19/2024

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Directions to “BORGFELD DENTAL CENTER PLLC ” Practice Location

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