Provider Demographics
NPI:1740584515
Name:CYRIL JOSEPH DMD PLLC
Entity Type:Organization
Organization Name:CYRIL JOSEPH DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:CYRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:210-614-0066
Mailing Address - Street 1:7271 WURZBACH RD
Mailing Address - Street 2:SUITE # 205
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-3800
Mailing Address - Country:US
Mailing Address - Phone:210-614-0066
Mailing Address - Fax:
Practice Address - Street 1:7271 WURZBACH RD
Practice Address - Street 2:205
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240
Practice Address - Country:US
Practice Address - Phone:210-614-0066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-07
Last Update Date:2011-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24773122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty