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Individual

DR. ANDREW T. SCRAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
6035 NW LOOP 410, SUITE 107, SAN ANTONIO, TX 78238-3301
(210) 546-1337
Mailing address
6035 NW LOOP 410, SUITE 107, SAN ANTONIO, TX 78238-3301
(210) 546-1337

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22951
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
184062103
TX
Enumeration date
01/25/2007
Last updated
03/17/2011
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