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NPI Code Detail

MEDICARE: AGUIRRE PEDIATRICS AND FAMILY DENTISTRY

MEDICARE: AGUIRRE PEDIATRICS AND FAMILY DENTISTRY
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
11223G0001XGeneral Practice Dentistry12782TX

General Provider Information

NPI Number : 1881973485
Entity Type Code : Organization
Provider Name (Legal Business Name) : AGUIRRE PEDIATRICS AND FAMILY DENTISTRY
Provider Business Mailing Address
First Line : 2515 CASTROVILLE RD STE 105
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78237-3361
Country : US
Telephone Number : 210-433-1991
Fax Number : 210-433-2021
Provider Business Practice Location Address
First Line : 2515 CASTROVILLE RD STE 105
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78237-3361
Country : US
Telephone Number : 210-433-1991
Fax Number : 210-433-2021
Authorized Official
Title or Position : DENTIST
Name : JOSE E AGUIRRE
Credential :
Telephone Number : 210-433-1991
Provider Enumeration Date : 08/12/2011
Last Update Date : 08/12/2011

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Directions to “AGUIRRE PEDIATRICS AND FAMILY DENTISTRY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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