Provider Demographics
NPI:1205725025
Name:DELAPAZ, DANIELLE CECELIA (DMD)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:CECELIA
Last Name:DELAPAZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:631 REENIE WAY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4939
Mailing Address - Country:US
Mailing Address - Phone:210-818-0877
Mailing Address - Fax:
Practice Address - Street 1:540 MADISON OAK DR STE 441
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3922
Practice Address - Country:US
Practice Address - Phone:210-545-2707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41463122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist