is a Periodontics in San Antonio, Texas. practices all healthcare services and medical treatments related to Periodontics. The NPI Number for is 1700936622. The last update date is .
's current location address is 1130 E Sonterra Blvd, San Antonio, Texas. You can contact this provider via phone number 2104976677 and fax number 2105451884. The mailing address for is 1130 E Sonterra Blvd, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1130 E Sonterra Blvd, San Antonio, Texas |
| Phone Number | 2104976677 |
| Fax Number | 2105451884 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1700936622 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1130 E Sonterra Blvd |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782584235 |
| Phone Number | 2104976677 |
| Fax Number | 2105451884 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 18195 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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