Organization · Type 2 NPI

De Zavala Modern Dentistry, PC

Dentist · San Antonio, TX

NPI number 1104475185 Active

Practice location

5215 De Zavala Rd Ste 103
San Antonio, TX 78249-2985

Call (210) 740-0645 Map

Fax (210) 757-4067

Mailing address

PO Box 920050
Dallas, TX 75392-0050

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	None listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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NPI record

NPI: 1104475185
Entity type: Organization (Type 2)
Issued: Sep 11, 2019
Last updated: Feb 11, 2022
Status: Active

Other names

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De Zavala Modern Dentistry · doing business as
De Zavala Modern Dentistry · doing business as

Authorized official

Dr. Roberto A. Benavides, DDS
Owner
(210) 740-0645

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About NPI 1104475185

De Zavala Modern Dentistry, PC's National Provider Identifier is 1104475185, issued on Sep 11, 2019. The primary taxonomy on file is Dentist (122300000X), and the practice location is in San Antonio, TX. The record was last updated on Feb 11, 2022.