Individual
DR. ANA M LAVERMICOCCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 SW MILITARY DR, SAN ANTONIO, TX 78221-1650
(210) 922-3483
Mailing address
17903 CAMINO GRANDE, SAN ANTONIO, TX 78257-5007
(786) 340-8115
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
33278
TX
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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