Provider Demographics
NPI:1609320068
Name:MORCHAT, KATARZYNA MALGORZATA (DDS)
Entity Type:Individual
Prefix:
First Name:KATARZYNA
Middle Name:MALGORZATA
Last Name:MORCHAT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5250 BLANCO RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-7017
Mailing Address - Country:US
Mailing Address - Phone:210-349-3368
Mailing Address - Fax:210-349-2473
Practice Address - Street 1:5215 DE ZAVALA RD STE 103
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2985
Practice Address - Country:US
Practice Address - Phone:210-740-0645
Practice Address - Fax:210-757-4067
Is Sole Proprietor?:No
Enumeration Date:2016-08-15
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX322701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice