Maiara Lisiane Hister-Cockrell

NPI #1942926332 in Bulverde, Texas

Provider Information

NPI Number
1942926332
Entity Type
Individual
Name
Maiara Lisiane Hister-Cockrell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Enumeration Date
Oct 17, 2022
Last Updated
Oct 17, 2022

Practice Location

Address
3483 COPPER ACRES
State
Texas
ZIP Code
78163
Phone
(210) 772-6884

Specialties & Taxonomy Codes

Specialty
Dentist

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