RANDOLPH A IBARRA

SAN ANTONIO, TX
NPI1003878034
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  14645)
Enumeration Date2006-04-05
Last Update Date2007-07-08
Business Address
Dr. RANDOLPH A IBARRA DDS
8744 GRISSOM RD
SAN ANTONIO, TX 78251-4819
Phone number: 210-523-0000
Mailing Address
Dr. RANDOLPH A IBARRA DDS
8355 CRESTWAY DR 1126
CONVERSE, TX 78109-3596
Phone number: 210-623-6112
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