Organization
KERRVILLE ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA AYALA (OWNER)
(210) 632-4560
Entity
Organization
Contact information
Practice address
1700 SIDNEY BAKER ST STE 200, KERRVILLE, TX 78028-2682
(830) 355-4488
Mailing address
PO BOX 356, LYTLE, TX 78052-0356
(121) 063-2456
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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