Organization · Type 2 NPI

Dezavala Dental and Braces PLLC

General Practice Dentistry · San Antonio, TX

NPI number 1194494708 Active

Practice location

4519 Dezavala Road
San Antonio, TX 78249

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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NPI record

NPI: 1194494708
Entity type: Organization (Type 2)
Issued: Sep 8, 2021
Last updated: Nov 16, 2021
Status: Active

Other names

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Dezavala Dental and Braces · doing business as
Dezavala Dental and Braces · doing business as

Authorized official

Dr. Joel Olmos, DDS
Owner/ Doctor
(512) 268-3384

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About NPI 1194494708

Dezavala Dental and Braces PLLC's National Provider Identifier is 1194494708, issued on Sep 8, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Antonio, TX. The record was last updated on Nov 16, 2021.