Organization
LELA FARMER DDS MSD
Active
Other names
Scuba Smiles for Kids
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LELA CHRISTINE FARMER DDS MSD (OWNER)
(704) 641-4117
Entity
Organization
Contact information
Practice address
3829 LOCKHILL SELMA RD STE 105, SAN ANTONIO, TX 78230-1762
(210) 899-1099
Mailing address
3829 LOCKHILL SELMA RD STE 105, SAN ANTONIO, TX 78230-1762
(210) 899-1099
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841632270
NPPES
—
01
—
1992154660
NPPES
—
Enumeration date
07/14/2022
Last updated
07/14/2022
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