Provider Demographics
NPI:1679868772
Name:VELA, DAVID ANTHONY (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ANTHONY
Last Name:VELA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7720 JONES MALTSBERGER RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-6993
Mailing Address - Country:US
Mailing Address - Phone:210-804-2212
Mailing Address - Fax:210-804-2355
Practice Address - Street 1:985 SOUTH SAM HOUSTON
Practice Address - Street 2:
Practice Address - City:SAN BENITO
Practice Address - State:TX
Practice Address - Zip Code:78586
Practice Address - Country:US
Practice Address - Phone:956-399-4312
Practice Address - Fax:956-399-4312
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX270501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice