Organization
DE ZAVALA MODERN DENTISTRY, PC
Active
Other names
De Zavala Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO A. BENAVIDES DDS (OWNER)
(210) 740-0645
Entity
Organization
Contact information
Practice address
5215 DE ZAVALA RD STE 103, SAN ANTONIO, TX 78249-2985
(210) 740-0645
(210) 757-4067
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8206
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
02/11/2022
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