Individual
CARLOS R. QUEZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1583 THOUSAND OAKS DR STE 117, SAN ANTONIO, TX 78232-2300
(210) 492-5668
Mailing address
1583 THOUSAND OAKS DR STE 117, SAN ANTONIO, TX 78232-2300
(210) 492-5668
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39533
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/22/2023
Last updated
07/17/2023
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