Dr. Nivia Lizeth Grajeda
Dentist, General Practice in San Antonio, TX. Individual provider (NPI-1).
NPI number1164093191
StatusActive
Last updated in NPPESJul 9, 2021
Details
- NPI
- 1164093191
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nivia Lizeth Grajeda
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2021
- Certification date
- Jul 9, 2021
- Last updated
- Jul 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | ETN856 | TX | Yes |
Practice location
8210 Floyd Curl Dr # 8103San Antonio, TX 78229-3923
Phone 210-450-3273
Mailing address
8210 Floyd Curl Dr # 8103San Antonio, TX 78229-3923
Phone 210-450-3273 · Fax 210-450-2223
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