Organization
TOTS TO TEENS PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNA AYALA D.M.D. (CEO)
(210) 632-4560
Entity
Organization
Contact information
Practice address
9807 STERLING LOOP APT 9, LAREDO, TX 78045-6586
(210) 632-4560
Mailing address
9807 STERLING LOOP APT 9, LAREDO, TX 78045-6586
(210) 632-4560
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
24255
TX
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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