Individual
DR. GUSTAVO OMAR LEAL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1539 SW LOOP 410, SAN ANTONIO, TX 78227-1659
(956) 639-4067
Mailing address
4400 HORIZON HILL BLVD, APT #4022, SAN ANTONIO, TX 78229-2232
(956) 639-4067
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29045
TX
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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