Provider Demographics
NPI:1538908280
Name:AFFORDABLE DENTURES & IMPLANTS - TEXAS IX, PLLC
Entity type:Organization
Organization Name:AFFORDABLE DENTURES & IMPLANTS - TEXAS IX, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TALYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MINTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:726-232-8685
Mailing Address - Street 1:1432 AUSTIN HWY STE 104
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-4903
Mailing Address - Country:US
Mailing Address - Phone:726-232-8685
Mailing Address - Fax:
Practice Address - Street 1:1432 AUSTIN HWY STE 104
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-4903
Practice Address - Country:US
Practice Address - Phone:726-232-8685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty