De Zavala Modern Dentistry, PC
NPI #1104475185 in San Antonio, Texas
Provider Information
- NPI Number
- 1104475185
- Entity Type
- Organization
- Organization Name
- De Zavala Modern Dentistry, PC
- Primary Specialty
- Dentist
- Enumeration Date
- Sep 11, 2019
- Last Updated
- Feb 11, 2022
Practice Location
- Address
- 5215 DE ZAVALA RD STE 103
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78249-2985
- Phone
- (210) 740-0645
Authorized Official
- Name
- DR. ROBERTO A. BENAVIDES, DDS
- Title
- OWNER
- Phone
- (210) 740-0645
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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