Provider Demographics
NPI:1518339589
Name:WG HELOTES PLLC
Entity Type:Organization
Organization Name:WG HELOTES PLLC
Other - Org Name:DR. DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAGAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:210-468-1371
Mailing Address - Street 1:17503 LA CANTERA PKWY # 104-606
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78257-8207
Mailing Address - Country:US
Mailing Address - Phone:210-468-1371
Mailing Address - Fax:
Practice Address - Street 1:9708 BUSINESS PKWY STE 120
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-4765
Practice Address - Country:US
Practice Address - Phone:210-627-6305
Practice Address - Fax:210-807-9623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-29
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty