Individual
DR. ANGELA M ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3066 E COMMERCE ST, SAN ANTONIO, TX 78220-1013
(210) 233-7096
(210) 277-6387
Mailing address
2810 DACY LN, KYLE, TX 78640-6322
(512) 268-8950
(512) 268-2253
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23953
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23953
TEXAS BOARD OF DENTAL EXAMINERS LICENSE
TX
Enumeration date
07/12/2008
Last updated
10/16/2012
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