Individual
DR. DANIEL MARIO BERUVIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6026 CELTIC, SAN ANTONIO, TX 78240-5700
(806) 773-3398
Mailing address
6026 CELTIC, SAN ANTONIO, TX 78240-5700
(806) 773-3398
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32267
TX
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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