Individual
DR. MATTHEW JOSEPH VIERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14500 SAN PEDRO AVE, SUITE 102, SAN ANTONIO, TX 78232-4391
(210) 491-0015
(210) 491-0352
Mailing address
10126 SILVERWAGON, SAN ANTONIO, TX 78254-6034
(210) 837-1407
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
28748
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/04/2009
Last updated
11/22/2013
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