DIANE TICE

SAN ANTONIO, TX
NPI1922168806
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  16878)
Enumeration Date2006-12-11
Last Update Date2007-07-08
Business Address
-- DIANE TICE
4158 SWANS LNDG
SAN ANTONIO, TX 78217-4239
Phone number: 210-590-4867
Mailing Address
-- DIANE TICE
1218 SW MILITARY DR
SAN ANTONIO, TX 78221-1535
Phone number: 210-590-4867
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