Individual
CARLOS ESQUIVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4507 MEDICAL DR, VILLA CORONADO CLINIC, SAN ANTONIO, TX 78229-4401
(210) 683-4667
Mailing address
2143 BANDERA, SAN ANTONIO, TX 78228
(210) 436-4833
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13863
TX
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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