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Individual

DR. EMANUEL JOSEPH STAES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1546 BABCOCK RD STE 105, SAN ANTONIO, TX 78229-4724
(210) 920-8481
Mailing address
1512 NIGHTHAWK DR, LITTLE ELM, TX 75068-8474

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28289
TX

Other

Enumeration date
08/03/2012
Last updated
02/04/2015
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