# AMISTAD DENTISTRY

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

## Provider details

- **NPI number:** 1851667372
- **Authorized official:** DR. THOMAS MAX TAYLOR D.M.D. (OWNER)
- **Authorized official phone:** (830) 775-2431

## Contact information

- **Practice address:** 2223 VETERANS BLVD, DEL RIO, TX 78840
- **Practice address phone:** (830) 775-2431
- **Practice address fax:** (830) 775-7418
- **Mailing address:** 2223 VETERANS BLVD, DEL RIO, TX 78840
- **Mailing address phone:** (830) 775-2431
- **Mailing address fax:** (830) 775-7418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2012
- **Last updated:** 02/26/2018
