Individual
DR. CHARLES ROGER MACIAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
21 SPURS LN, SUITE 130, SAN ANTONIO, TX 78240-1634
(210) 614-2020
(210) 694-5099
Mailing address
21 SPURS LN, SUITE 130, SAN ANTONIO, TX 78240-1634
(210) 614-2020
(210) 694-5099
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13650
TX
Other
Enumeration date
03/31/2007
Last updated
07/08/2007
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