DR. Randolph A Ibarra, DDS
NPI #1003878034 in San Antonio, Texas
Provider Information
- NPI Number
- 1003878034
- Entity Type
- Individual
- Name
- DR. Randolph A Ibarra, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Apr 5, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 8744 GRISSOM RD
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78251-4819
- Phone
- (210) 523-0000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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