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Individual

AISSA A LONGORIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
23510 WILDERNESS OAK, SAN ANTONIO, TX 78258-2406
(210) 942-4918
Mailing address
23510 WILDERNESS OAK, SAN ANTONIO, TX 78258-2406
(210) 942-4918

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28909
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28909
TEXAS STATE BOARD OF DENTAL EXAMINERS
TX
Enumeration date
05/31/2013
Last updated
04/01/2026
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