Individual
BASHIR MOTAMEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
210 S ZARZAMORA ST, SAN ANTONIO, TX 78207-4145
(210) 236-9220
Mailing address
17803 LA CANTERA TER, 11511, SAN ANTONIO, TX 78256-2545
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31298
TX
Other
Enumeration date
08/03/2015
Last updated
08/24/2015
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