Organization
BANDERA FAMILY DENTAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARMANDO ALBERTO NIEBLA DDS (OWNER)
(210) 736-0298
Entity
Organization
Contact information
Practice address
302 BANDERA RD, SAN ANTONIO, TX 78228-5518
(210) 736-0298
(210) 736-6847
Mailing address
302 BANDERA RD, SAN ANTONIO, TX 78228-5518
(210) 736-0298
(210) 736-6847
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14964
TX
Other
Enumeration date
01/20/2012
Last updated
03/06/2012
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