Individual
ANDREA LACERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20711 WILDERNESS OAK STE 103, SAN ANTONIO, TX 78258-2641
(210) 787-1200
(210) 497-6077
Mailing address
2911 ZURICH, SAN ANTONIO, TX 78230-2883
(860) 416-7497
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
41037
TX
Other
Enumeration date
07/23/2022
Last updated
12/11/2024
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