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Individual

DR. DANIELA MARIE PUNZALAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D

Contact information

Practice address
7010 S ZARZAMORA ST STE 113, SAN ANTONIO, TX 78224-1148
(210) 970-9158
Mailing address
504 E GRAVIS ST, SAN DIEGO, TX 78384-2708
(210) 970-9158

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30778
TX
1223G0001X
General Practice Dentistry
N0DI02580900
NJ

Other

Enumeration date
04/30/2014
Last updated
03/20/2017
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