Cibolo Denter Center Pllc

NPI #1043653892 in Cibolo, Texas

Provider Information

NPI Number
1043653892
Entity Type
Organization
Organization Name
Cibolo Denter Center Pllc
Primary Specialty
Dentist
Enumeration Date
Apr 11, 2013
Last Updated
Apr 11, 2013

Practice Location

Address
3893 CIBOLO VALLEY DR
Address 2
104
City
Cibolo
State
Texas
ZIP Code
78108
Phone
(210) 658-7200

Authorized Official

Name
ANGELA ENRIQUEZ
Title
DENTIST
Phone
(210) 658-7200

Specialties & Taxonomy Codes

Specialty
Dental Hygienist
Dental Assistant
Dentist

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