| Provider Type: | Dental Providers |
| Provider Classification: | Dentist |
| Provider Specialization: | Oral and Maxillofacial Surgery |
| Definition of Specialization: | |
| Address: |
7703 Floyd Curl Dr San Antonio, TX 78229-3901 |
| Phone: | (210) 567-3462 |
| Fax: | (210) 567-2995 |
| Gender: | Male |
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