MEDICARE: DR. MARIE THERESE ANICIA JAVIER SINGSON DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	25501	TX

General Provider Information

NPI Number	:	1447570510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIE THERESE ANICIA JAVIER SINGSON DDS

Provider Business Mailing Address
First Line	:	6039 WHITBY RD
Second Line	:	APT #1307
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-2363
Country	:	US
Telephone Number	:	407-446-6600
Fax Number	:

Provider Business Practice Location Address
First Line	:	9262 CULEBRA RD
Second Line	:	#107
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-3571
Country	:	US
Telephone Number	:	210-680-0860
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2010
Last Update Date	:	06/10/2010

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