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Organization
GERONIMO CANYON DENTISTRY, PC
Active
Organization
GERONIMO CANYON DENTISTRY, PC
Active
Other names
Geronimo Canyon Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO A BENAVIDES DDS (OWNER)
(210) 512-1690
Entity
Organization
Contact information
Practice address
15489 CULEBRA RD STE 201, SAN ANTONIO, TX 78253-4602
(210) 512-1690
(210) 501-1686
Mailing address
PO BOX 660041, DALLAS, TX 75266-0041
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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