MEDICARE: ROBERT KRANTZ D.D.S.

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
1	122300000X	Dentist	32200	TX

General Provider Information

NPI Number	:	1285188631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT KRANTZ D.D.S.

Provider Business Mailing Address
First Line	:	11137 CEDAR PARK
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249
Country	:	UM
Telephone Number	:	210-913-7199
Fax Number	:

Provider Business Practice Location Address
First Line	:	1659 W STATE HIGHWAY 46 STE 180
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78132-4746
Country	:	US
Telephone Number	:	830-625-6600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2016
Last Update Date	:	08/14/2016

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