Individual
DR. CARLY MICHELE TOVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13205 GEORGE RD, SAN ANTONIO, TX 78230-3018
(210) 767-3562
Mailing address
13205 GEORGE RD, SAN ANTONIO, TX 78230-3018
(210) 767-3562
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27004
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297927003
—
TX
Enumeration date
07/19/2011
Last updated
11/04/2024
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