MEDICARE: DR. JOSEPH PHILIP FRENO JR. DMD

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	1223G0001X	General Practice Dentistry	18455	TX

General Provider Information

NPI Number	:	1447223623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH PHILIP FRENO JR. DMD

Provider Business Mailing Address
First Line	:	12042 BLANCO RD
Second Line	:	SUITE 300
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-5440
Country	:	US
Telephone Number	:	210-349-9800
Fax Number	:	210-349-9811

Provider Business Practice Location Address
First Line	:	12042 BLANCO RD
Second Line	:	SUITE 300
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-5440
Country	:	US
Telephone Number	:	210-349-9800
Fax Number	:	210-349-9811

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

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	07/08/2007

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