Alta Vista Dentistry Pllc
NPI #1053136432 in San Antonio, Texas
Provider Information
- NPI Number
- 1053136432
- Entity Type
- Organization
- Organization Name
- Alta Vista Dentistry Pllc
- Primary Specialty
- Dentist
- Enumeration Date
- Nov 20, 2024
- Last Updated
- Nov 20, 2024
Practice Location
- Address
- 405 W GRAMERCY PL
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78212-2827
- Phone
- (210) 734-6556
Authorized Official
- Name
- MARISSA MOONEY
- Title
- PRACTICE MANAGER
- Phone
- (210) 734-6556
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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