| De Zavala Modern Dentistry | |
|
5215 De Zavala Rd Ste 103 San Antonio TX 78249-2985 | |
| (210) 740-0645 | |
| (210) 757-4067 |
| Full Name | De Zavala Modern Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 5215 De Zavala Rd Ste 103, San Antonio, Texas |
| Authorized Official Name and Position | Roberto A. Benavides (OWNER) |
| Authorized Official Contact | 2107400645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| De Zavala Modern Dentistry Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8206 | De Zavala Modern Dentistry 5215 De Zavala Rd Ste 103 San Antonio TX 78249-2985 Ph: (210) 740-0645 |
| NPI Number | 1104475185 |
|---|---|
| Provider Enumeration Date | 09/11/2019 |
| Last Update Date | 02/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104475185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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