MR. Richard Douglas Taverna, PH.D.,D.D.S.

NPI #1912903444 in San Antonio, Texas

Provider Information

NPI Number
1912903444
Entity Type
Individual
Name
MR. Richard Douglas Taverna, PH.D.,D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
PH.D.,D.D.S.
Enumeration Date
Jun 21, 2005
Last Updated
Sep 12, 2012

Practice Location

Address
430 W LOOP 1604 N
Address 2
SUITE 109
State
Texas
ZIP Code
78251-3342
Phone
(210) 469-3869

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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