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NPI Code Detail

MEDICARE: AABLE DENTAL CLINIC PA

MEDICARE: AABLE DENTAL CLINIC PA
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
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1093939084
Entity Type Code : Organization
Provider Name (Legal Business Name) : AABLE DENTAL CLINIC PA
Provider Business Mailing Address
First Line : 3233 WURZBACH ROAD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78238-4002
Country : US
Telephone Number : 210-680-6325
Fax Number : 210-680-4957
Provider Business Practice Location Address
First Line : 3233 WURZBACH ROAD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78238-4002
Country : US
Telephone Number : 210-680-6325
Fax Number : 210-680-4957
Authorized Official
Title or Position : CEO
Name : DR. JAMES JOSEPH KEHOE
Credential : DMD
Telephone Number : 210-680-6325
Provider Enumeration Date : 04/12/2007
Last Update Date : 08/22/2020

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Directions to “AABLE DENTAL CLINIC PA ” Practice Location

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