Jonathan Yrisarri Stateson, DDS Valid NPI

Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · Fort Sam Houston, TX

NPI

1326327727

Type

Individual (Type 1)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223X0400X

License number

26564 (TX)

Sex

Male

Sole proprietor

Yes

Enumerated

2011-08-16

Last updated

2025-07-07