Provider Demographics
NPI:1659250033
Name:LARIN, SINDY AZUCENA (BDS)
Entity type:Individual
Prefix:
First Name:SINDY
Middle Name:AZUCENA
Last Name:LARIN
Suffix:
Gender:F
Credentials:BDS
Other - Prefix:
Other - First Name:SINDY
Other - Middle Name:AZUCENA
Other - Last Name:AYAPAN MENDOZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12115 EDWARD CONRAD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-5093
Mailing Address - Country:US
Mailing Address - Phone:210-383-1853
Mailing Address - Fax:
Practice Address - Street 1:12115 EDWARD CONRAD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-5093
Practice Address - Country:US
Practice Address - Phone:210-383-1853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX419541223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics