Individual
DR. RICARDO JOSE DE LA GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9514 POTRANCO RD., SAN ANTONIO, TX 78251
(210) 680-8080
Mailing address
9514 POTRANCO RD., SAN ANTONIO, TX 78251
(210) 680-8080
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
20537
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144754201
—
TX
Enumeration date
06/15/2005
Last updated
12/19/2008
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