Individual
ELIZABETH DOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5563 DE ZAVALA RD STE 160, SAN ANTONIO, TX 78249-1738
(210) 696-7885
Mailing address
PO BOX 1479, HELOTES, TX 78023-1479
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901022247
MI
122300000X
Dentist
33825
TX
1223G0001X
General Practice Dentistry
Primary
33825
TX
Other
Enumeration date
06/10/2017
Last updated
07/06/2025
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