Individual
DR. EDITA AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2500 FUNSTON RD, SAN ANTONIO, TX 78234-7667
(210) 762-5120
Mailing address
19531 CAMINO RDG, SAN ANTONIO, TX 78258-3111
(937) 208-6191
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2495
OH
1223G0001X
General Practice Dentistry
Primary
23211
TX
Other
Enumeration date
03/29/2007
Last updated
05/31/2022
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