Individual
DR. SUSIE STAFFORD HAYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
20322 HUEBNER RD, SUITE #103, SAN ANTONIO, TX 78258
(210) 491-4141
(210) 494-4025
Mailing address
19503 ENCINO SPUR ST, SAN ANTONIO, TX 78259-2305
(210) 491-4141
(210) 494-4025
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
16839
TX
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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