Individual
DAVID DE LA GARZA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7434 LOUIS PASTEUR, SUITE 236, SAN ANTONIO, TX 78229-4538
(210) 681-1113
(210) 614-2903
Mailing address
7434 LOUIS PASTEUR, SUITE 236, SAN ANTONIO, TX 78229-4538
(210) 681-1113
(210) 614-2903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16136
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
839341
UNITED CONCORDIA PROV. ID
TX
Enumeration date
03/27/2006
Last updated
07/08/2007
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