Individual provider · NPI-1

David Abbott, DDS

Student in an Organized Health Care Education/Training Program · San Antonio, TX

NPI number1336922004
StatusActive
Last updated in NPPESAug 16, 2023

Details

NPI
1336922004
Entity type
Individual (NPI-1)
Name
David Abbott
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 16, 2023
Certification date
Aug 16, 2023
Last updated
Aug 16, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

7703 Floyd Curl Dr
San Antonio, TX 78229-3901

Phone 210-450-3700

Mailing address

7703 Floyd Curl Dr
San Antonio, TX 78229-3901

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