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General NPI Number Information
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NPI Number | 1518143312
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Entity Type | Organization
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Legal Business Name | RALPH FLORES D.D.S., P.A.
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Dates
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Enumeration Date | 01/11/2008
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Last Update Date | 01/11/2008
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Provider Practice Location Address
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Address Line | 5500 WALZEM RD
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City | SAN ANTONIO
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State | TX
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Zip | 78218-2103
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Country | US
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Telephone | 210-657-4641
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Fax | 210-655-4012
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Provider Business Mailing Address
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Address Line | 5500 WALZEM
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City | SAN ANTONIO
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State | TX
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Zip | 78218
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Country | US
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Telephone | 210-657-4641
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Fax | 210-655-4012
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. ELSA B LOPEZ
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Credential |
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Telephone | 210-657-4641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | D11013
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License Number State | TX
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