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Individual

GISELLE CARDENAS EITTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS, MSD

Contact information

Practice address
335 E SONTERRA BLVD STE 100, 100, SAN ANTONIO, TX 78258-4071
(907) 947-0240
Mailing address
335 E SONTERRA BLVD STE 100, 100, SAN ANTONIO, TX 78258-4071
(907) 947-0240

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
27705
TX
1223E0200X
Endodontics
DE 00010840
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27705
ENDODONTIST
TX
Enumeration date
09/23/2009
Last updated
06/28/2012
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