Individual
DR. LISA TREVINO ALVARADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1019 SHOOK AVE, SAN ANTONIO, TX 78212-2508
(210) 824-2363
Mailing address
8826 BLAKE OAK RUN, SAN ANTONIO, TX 78254-6835
(210) 767-1308
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
21604
TX
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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