AQUA INGRAM PLLC

SAN ANTONIO, TX
NPI1942584040
Doing Business AsAQUA DENTAL INGRAM
Entity TypeOrganization
Authorized ContactANTONIO RIVERA
Managing Member
972-677-7845
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Additional Taxonomies1223P0221X Dentist, Pediatric Dentistry
Enumeration Date2011-10-06
Last Update Date2011-10-06
Business Address
AQUA INGRAM PLLC
6064 INGRAM RD
SAN ANTONIO, TX 78238-4402
Phone number: 972-677-7845
Mailing Address
AQUA INGRAM PLLC
6064 INGRAM RD
SAN ANTONIO, TX 78238-4402
Phone number: 972-677-7845