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Organization
RIO DENTAL, PLLC
Active
Organization
RIO DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY CUDDY D.D.S (OWNER)
(210) 785-8526
Entity
Organization
Contact information
Practice address
2811 HILLCREST DR, SAN ANTONIO, TX 78201-7047
(210) 785-8526
Mailing address
2811 HILLCREST DR, SAN ANTONIO, TX 78201-7047
(210) 785-8526
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29870
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29870
TSBDE
TX
Enumeration date
03/23/2015
Last updated
03/23/2015
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