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1063532067
CHARLES ROGER MACIAS
SAN ANTONIO, TX
NPI
1063532067
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 13650)
Enumeration Date
2007-03-31
Last Update Date
2007-07-08
Business Address
Dr. CHARLES ROGER MACIAS D.D.S.
21 SPURS LN SUITE 130
SAN ANTONIO, TX 78240-1634
Phone number: 210-614-2020
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Mailing Address
Dr. CHARLES ROGER MACIAS D.D.S.
21 SPURS LN SUITE 130
SAN ANTONIO, TX 78240-1634
Phone number: 210-614-2020
Copy
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