MEDICARE: DAVID SZALAY 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	30031	TX
2	390200000X	Student in an Organized Health Care Education/Training Program	ETN 252	TX

General Provider Information

NPI Number	:	1306251681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID SZALAY D.D.S.

Provider Business Mailing Address
First Line	:	922 E SONTERRA BLVD APT 1316
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-5004
Country	:	US
Telephone Number	:	512-947-7037
Fax Number	:

Provider Business Practice Location Address
First Line	:	922 E SONTERRA BLVD APT 1316
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-5004
Country	:	US
Telephone Number	:	512-947-7037
Fax Number	:

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

Provider Enumeration Date	:	06/25/2014
Last Update Date	:	06/25/2014

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