Individual
DR. VISHNU RAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS, MSFS, MS
Contact information
Practice address
7010 S ZARZAMORA ST STE 113, SAN ANTONIO, TX 78224-1148
(210) 921-0603
Mailing address
127 E RIVERSIDE DR, 316, AUSTIN, TX 78704-1270
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
27559
TX
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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