Sontora Max PA
NPI #1013113562 in San Antonio, Tennessee
Provider Information
- NPI Number
- 1013113562
- Entity Type
- Organization
- Organization Name
- Sontora Max PA
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Jun 22, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1202 EAST SONTERRA BLVD
- Address 2
- SUITE 801
- City
- San Antonio
- State
- Tennessee
- ZIP Code
- 78258
- Phone
- (210) 494-2005
Authorized Official
- Name
- ROBERT BRYAN ROACH JR., DDS
- Title
- ORAL SURGEON
- Phone
- (210) 494-2005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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