Organization
DE ZAVALA DENTISTRY AND ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PU (VP OF FINANCE)
(972) 869-3789
Entity
Organization
Contact information
Practice address
5230 DE ZAVALA RD STE 225, SAN ANTONIO, TX 78249-1731
(210) 696-0667
Mailing address
5230 DE ZAVALA RD STE 225, SAN ANTONIO, TX 78249-1731
(210) 696-0667
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/04/2018
Last updated
05/18/2022
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