| Dezavala Dental And Braces | |
|
4519 Dezavala Road San Antonio TX 78249 | |
| (210) 690-9221 | |
| Not Available |
| Full Name | Dezavala Dental And Braces |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4519 Dezavala Road, San Antonio, Texas |
| Authorized Official Name and Position | Joel Olmos (OWNER/ DOCTOR) |
| Authorized Official Contact | 5122683384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dezavala Dental And Braces 4519 Dezavala Road San Antonio TX 78249 Ph: (210) 690-9221 | Dezavala Dental And Braces 4519 Dezavala Road San Antonio TX 78249 Ph: (210) 690-9221 |
| NPI Number | 1194494708 |
|---|---|
| Provider Enumeration Date | 09/08/2021 |
| Last Update Date | 11/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194494708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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