Organization · Type 2 NPI
Roberto L Villarrealdds
Dental Clinic/Center · San Antonio, TX
NPI number
1528332004
Active
Practice location
1302 S General Mcmullen Dr Ste 102
San Antonio, TX 78237-4200
Fax (210) 432-1157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 22476 (TX) |
Dental Clinic/Center: Definition to come...
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About NPI 1528332004
Roberto L Villarrealdds's National Provider Identifier is 1528332004, issued on Mar 1, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in San Antonio, TX. The record was last updated on Mar 1, 2012.