Individual
AIYANA CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9011 POTEET JOURDANTON FWY, SAN ANTONIO, TX 78224-2124
(210) 921-6010
(210) 921-6188
Mailing address
3750 COMMERCIAL AVE, SAN ANTONIO, TX 78221-3117
(210) 334-3750
(210) 922-0162
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0024798
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213998201
—
TX
Enumeration date
08/04/2009
Last updated
02/10/2015
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