Individual
DR. ARMANDO ALBERT NIEBLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
302 BANDERA RD, SAN ANTONIO, TX 78228-5518
(210) 736-0298
(210) 736-6847
Mailing address
302 BANDERA RD, SAN ANTONIO, TX 78228-5518
(210) 736-0298
(210) 736-6847
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14964
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090983001
—
TX
01
—
742535981
TAX IDENTIFICATION
TX
Enumeration date
03/29/2007
Last updated
07/08/2007
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