Organization
SAN ANTONIO PEDIATRIC DENTISTRY, PLLC
Active
Other names
San Antonio Pediatric Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA RAINS (OFFICE MANAGER)
(512) 353-5500
Entity
Organization
Contact information
Practice address
17026 BULVERDE RD STE 102, SAN ANTONIO, TX 78247-4700
(210) 944-8111
Mailing address
1320 WONDER WORLD DR STE 103, SAN MARCOS, TX 78666-7558
(210) 944-8111
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
07/24/2020
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