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Dr. Roque Mariscal, DDS
Pediatric Dentist in San Antonio, Texas
NPI 1912174004

Roque Mariscal is a Pediatric Dentist based in San Antonio, TX and is specialized in Pediatric Dentistry. Roque Mariscal practices in San Antonio, TX and has the professional credentials of DDS. The NPI Number for Roque Mariscal is 1912174004 and holds a License No. 15348 (Texas).

The current practice location address for Roque Mariscal is 315 N San Saba, San Antonio, TX and can be reached out via phone at 210-227-1991.

Location: 315 N San Saba, San Antonio, TX, 78207-3154
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Provider Profile Details
NPI Number
1912174004
Provider Name
Roque Mariscal
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
315 N San Saba, San Antonio, TX, 78207-3154
Phone Number
210-227-1991
Fax Number
Provider Enumeration Date
05/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1209736-02 05 TX
institution
Provider Business Practice Location Address Details
Address
315 N San Saba
City
State
Zip
78207-3154
Phone Number
210-227-1991
Fax Number
person
Provider Business Mailing Address Details
Address
315 N San Saba
City
State
Zip
78207-3154
Phone Number
210-227-1991
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
15348 (Texas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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