Individual
DR. JOSE ENRIQUE AREVALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1730 SW MILITARY DR STE 102, SAN ANTONIO, TX 78221-1400
(210) 610-0807
Mailing address
1730 SW MILITARY DR STE 102, SAN ANTONIO, TX 78221-1400
(210) 610-0807
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
32821
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270018516
TAX IDENTIFICATION
CA
Enumeration date
07/05/2007
Last updated
10/28/2022
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