Individual
AIRTON D SOARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542-1302
(850) 883-8115
Mailing address
1615 TRUEMPER ST BLDG 6418, SAN ANTONIO, TX 78236-5511
(210) 292-0693
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37835
TX
1223P0700X
Prosthodontics
37835
TX
Other
Enumeration date
05/29/2020
Last updated
06/30/2025
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