Individual
DR. ALLAN RODRIGO JAUREGUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1507 E COURT ST STE 107, SEGUIN, TX 78155-5265
(830) 372-9979
Mailing address
19534 AZURE OAK, SAN ANTONIO, TX 78258-3114
(210) 372-2029
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33217
TX
1223G0001X
General Practice Dentistry
33217
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33217
TEXAS STATE BOARD OF DENTAL EXAMINERS
TX
Enumeration date
07/13/2017
Last updated
07/20/2022
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