Individual
DR. JULIO DE LA FUENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
20627 HUEBNER RD, SAN ANTONIO, TX 78258-4765
(210) 979-8232
Mailing address
20627 HUEBNER RD, SAN ANTONIO, TX 78258-4765
(210) 979-8232
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
27041
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
27041
TX
Other
Enumeration date
06/16/2011
Last updated
07/02/2014
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