Organization
DETAILED DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIO DEL RIO (MEMBER)
(210) 694-4087
Entity
Organization
Contact information
Practice address
6212 DE ZAVALA RD, SAN ANTONIO, TX 78249-2201
(210) 694-4087
Mailing address
6212 DE ZAVALA RD, SAN ANTONIO, TX 78249-2201
(210) 694-4087
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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