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Organization
ISGEMA CORP.
Active
Organization
ISGEMA CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISMAEL GUAJARDO D.D.S. (PRESIDENT)
(210) 928-7975
Entity
Organization
Contact information
Practice address
2404 COMMERCIAL AVE, STE G, SAN ANTONIO, TX 78221-1703
(210) 928-7975
(210) 928-7977
Mailing address
2404 COMMERCIAL AVE, STE G, SAN ANTONIO, TX 78221-1703
(210) 928-7975
(210) 928-7977
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7257
TX
Other
Enumeration date
06/25/2007
Last updated
07/11/2007
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