Individual
CEDRIC LEE ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17230 AUTRY POND STE 115, SAN ANTONIO, TX 78247-2097
(210) 396-7667
(210) 396-7556
Mailing address
17230 AUTRY POND STE 115, SAN ANTONIO, TX 78247-2097
(210) 396-7667
(210) 396-7556
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22729
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1796880-04
—
TX
Enumeration date
09/20/2006
Last updated
11/11/2020
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