Provider Demographics
NPI:1831563741
Name:SENTIES-RAMIREZ, GABRIEL (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:
Last Name:SENTIES-RAMIREZ
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:DR
Other - First Name:GABRIEL
Other - Middle Name:
Other - Last Name:SENTIES-RAMIREZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS, MS
Mailing Address - Street 1:11153 WESTWOOD LOOP STE 204
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-6533
Mailing Address - Country:US
Mailing Address - Phone:210-729-7255
Mailing Address - Fax:
Practice Address - Street 1:11153 WESTWOOD LOOP STE 204
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-6533
Practice Address - Country:US
Practice Address - Phone:210-729-7255
Practice Address - Fax:210-729-7449
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-17
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX317411223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX31741OtherTEXAS DENTAL BOARD