Organization
PLEASANTON CHILDREN'S DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA AYALA (OWNER)
(210) 632-4560
Entity
Organization
Contact information
Practice address
800 N BRYANT ST, PLEASANTON, TX 78064-2550
(830) 772-4200
Mailing address
PO BOX 356, LYTLE, TX 78052-0356
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
24255
TX
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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