Individual
DR. ANTONIO JOSE ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
23714 HARDY OAK BLVD STE 110, SAN ANTONIO, TX 78260-1960
(210) 664-3479
Mailing address
4719 AUDUBON PL, SAN ANTONIO, TX 78217-5921
(214) 307-2487
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40656
TX
Other
Enumeration date
03/01/2023
Last updated
06/19/2024
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