Individual
EVGENIA SERYOGINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1915 ROGERS RD, SAN ANTONIO, TX 78251-4614
(941) 726-8069
Mailing address
1915 ROGERS RD, SAN ANTONIO, TX 78251-4614
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38152
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/04/2022
Last updated
07/29/2022
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