Organization
BROOKS RSVM PLLC
Active
Other names
The Dental Space
Organization subpart
No
Provider details
NPI number
Authorized official
NINA ABTAHI (MANAGER)
(214) 493-1216
Entity
Organization
Contact information
Practice address
3207 SE MILITARY DR STE 101, SAN ANTONIO, TX 78223-3881
(214) 493-1216
Mailing address
3207 SE MILITARY DR STE 101, SAN ANTONIO, TX 78223-3881
(214) 493-1216
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
03/30/2022
Last updated
10/07/2022
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