Provider First Line Business Practice Location Address:
2223 VETERAN'S BLVD;
Provider Second Line Business Practice Location Address:
AMISTAD DENTISTRY
Provider Business Practice Location Address City Name:
DEL RIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78840-3120
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
830-775-2431
Provider Business Practice Location Address Fax Number:
830-775-7418
Provider Enumeration Date:
07/14/2010