Individual
LEAH OSWALD VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9234 N LOOP 1604 W STE 123, SAN ANTONIO, TX 78249-2983
(210) 521-5430
Mailing address
9234 N LOOP 1604 W STE 123, SAN ANTONIO, TX 78249-2983
(210) 521-5430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22306
TX
1223G0001X
General Practice Dentistry
DEN-9505
CO
1223P0221X
Pediatric Dentistry
Primary
22306
TX
390200000X
Student in an Organized Health Care Education/Training Program
22306
TX
Other
Enumeration date
08/07/2007
Last updated
06/20/2023
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