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Individual

DR. GAUTAM SHIRODKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BDS MS

Contact information

Practice address
7703 FLOYD CURL DR # 7892, SAN ANTONIO, TX 78229-3901
(210) 567-3381
(210) 567-3389
Mailing address
7703 FLOYD CURL DR. MAIL CODE 7892, SAN ANTONIO, TX 78229-3900
(210) 567-3381
(210) 567-3389

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
ETN810
TX

Other

Enumeration date
05/21/2021
Last updated
06/15/2021
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