# JOSE ENRIQUE AREVALO DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Root Canal Doctor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760987168
- **Authorized official:** DR. JOSE ENRIQUE AREVALO DDS (OWNER)
- **Authorized official phone:** (951) 250-5812

## Contact information

- **Practice address:** 1730 SW MILITARY DR STE 102, SAN ANTONIO, TX 78221-1400
- **Practice address phone:** (951) 250-5812
- **Mailing address:** 1730 SW MILITARY DR STE 102, SAN ANTONIO, TX 78221-1400
- **Mailing address phone:** (210) 410-2452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 03/27/2018
- **Last updated:** 10/28/2022