Diane Tice
Diane Tice is a General Practice Dentistry in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2006.
- Licensed in
- TX
- In the registry since
- 2006
Practice location Address checks out
4158 Swans LndgSan Antonio, TX 78217-4239
Phone: (210) 590-4867
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 16878 (TX) |
|---|
Record details
| NPI number | 1922168806 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 11, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1218 Sw Military Dr, San Antonio, TX 78221-1535 |
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