Organization
ROBERTO L VILLARREALDDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO LUIS VILLARREAL DDS (PRESIDENT/OWNER)
(210) 432-7851
Entity
Organization
Contact information
Practice address
1302 S GENERAL MCMULLEN DR STE 102, SAN ANTONIO, TX 78237-4200
(210) 432-7851
(210) 432-1157
Mailing address
1302 S GENERAL MCMULLEN DR STE 102, SAN ANTONIO, TX 78237-4200
(210) 432-7851
(210) 432-1157
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22476
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182496301
—
TX
Enumeration date
03/01/2012
Last updated
03/01/2012
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