Provider Demographics
NPI:1417555780
Name:TPC DENTAL CARE PC
Entity Type:Organization
Organization Name:TPC DENTAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUZ
Authorized Official - Middle Name:
Authorized Official - Last Name:PASCAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-497-4847
Mailing Address - Street 1:2610 TPC PKWY STE 102
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-2394
Mailing Address - Country:US
Mailing Address - Phone:210-497-4847
Mailing Address - Fax:210-497-4983
Practice Address - Street 1:2610 TPC PKWY STE 102
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78259-2394
Practice Address - Country:US
Practice Address - Phone:210-497-4847
Practice Address - Fax:210-497-4983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-09
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty