Individual
ODES ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18850 STONE OAK PKWY, SAN ANTONIO, TX 78258-4113
(210) 499-0303
Mailing address
1202 E SONTERRA BLVD, SAN ANTONIO, TX 78258-4089
(210) 494-2005
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12381
TX
Other
Enumeration date
12/11/2006
Last updated
03/31/2016
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