# DIANE TRINIDAD, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346353901
- **Authorized official:** MRS. DIANE TRINIDAD (OWNER)
- **Authorized official phone:** (210) 690-9221

## Contact information

- **Practice address:** 4519 DE ZAVALA RD, SAN ANTONIO, TX 78249-2019
- **Practice address phone:** (210) 690-9221
- **Practice address fax:** (210) 930-6351
- **Mailing address:** 4519 DE ZAVALA RD, SAN ANTONIO, TX 78249-2019
- **Mailing address phone:** (210) 690-9221
- **Mailing address fax:** (210) 930-6351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 17239 | TX | Yes |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 08/22/2020