Kusom Dental Broadway PLLC
Kusom Dental Broadway PLLC is a General Practice Dentistry in San Antonio, Texas. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
8852 Broadway # 201San Antonio, TX 78217-6318
Phone: (210) 888-0700
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|---|
| Dental Clinic/Center | Taxonomy 261QD0000X |
Record details
| NPI number | 1265204622 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Selinda Gonzalez — Office Manager · (210) 888-0700 |
| NPI enumerated | October 27, 2023 |
| Last updated in NPPES | May 20, 2024 |
| Certification date | May 20, 2024 |
| Mailing address | 18707 Hardy Oak Blvd Ste 305, San Antonio, TX 78258-4895 |
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