Organization
POLISHED PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY LY DDS (PEDIATRIC DENTIST)
(210) 200-3008
Entity
Organization
Contact information
Practice address
13772 OLD FM 471 W # 304, SAN ANTONIO, TX 78253-2001
(210) 200-3008
(210) 200-3009
Mailing address
13772 OLD FM 471 W # 304, SAN ANTONIO, TX 78253-2001
(210) 200-3008
(210) 200-3009
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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