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NPI Code Detail

MEDICARE: WESTSIDE PEDIATRIC DENTAL

MEDICARE: WESTSIDE PEDIATRIC DENTAL
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
11223P0221XPediatric Dentistry

General Provider Information

NPI Number : 1255350435
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTSIDE PEDIATRIC DENTAL
Provider Business Mailing Address
First Line : 7322 MILITARY DRIVE WEST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78227-2924
Country : US
Telephone Number : 210-673-3792
Fax Number : 210-673-8837
Provider Business Practice Location Address
First Line : 7322 MILITARY DRIVE WEST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78227-2924
Country : US
Telephone Number : 210-673-3792
Fax Number : 210-673-8837
Authorized Official
Title or Position : PRESIDENT OWNER
Name : DR. BRETT H MUELLER
Credential : DDS MA
Telephone Number : 210-673-3792
Provider Enumeration Date : 07/19/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1619987229 — DR. BRETT HENSLEY MUELLER DDS MA
Practice Location Address:
7322 W MILITARY DR
SAN ANTONIO, TX
78227-2924
Practice Phone: 210-673-3792
Practice Fax: 210-673-8837
1558459396 — DR. LETICIA G JEFFORDS DDS
Practice Location Address:
7322 W MILITARY DR
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78227-2924
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Practice Fax: 210-673-8837
1477040863 — GUTIERREZ PEDIATRIC DENTISTRY, PC
Practice Location Address:
7322 W MILITARY DR
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Practice Fax:
1689704892 — ERIN E WARMS OTR
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Practice Fax:
1295275618 — KIARA DANIELS
Practice Location Address:
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1134601958 — WALTER ALEXANDER ERAZO
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Directions to “WESTSIDE PEDIATRIC DENTAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.