Provider Demographics
NPI:1154617868
Name:SAN MARTIN, DANIEL EDUARDO (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:EDUARDO
Last Name:SAN MARTIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1036 E BORGFELD DR STE 1
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78260-1630
Mailing Address - Country:US
Mailing Address - Phone:210-392-2321
Mailing Address - Fax:210-481-1622
Practice Address - Street 1:1036 E BORGFELD DR STE 1
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78260-1630
Practice Address - Country:US
Practice Address - Phone:210-404-9020
Practice Address - Fax:210-481-1622
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-21
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX247811223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics