MEDICARE: JESUS L. ALMAGUER DDS INC.

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	122300000X	Dentist	11775	TX

General Provider Information

NPI Number	:	1912110909
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JESUS L. ALMAGUER DDS INC.

Provider Business Mailing Address
First Line	:	4006 NOGALITOS
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78211-1300
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4006 NOGALITOS
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78211-1300
Country	:	US
Telephone Number	:	210-922-6929
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JESUS LEAL ALMAGUER
Credential	:	DDS.
Telephone Number	:	210-922-6929

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	08/22/2020

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