Organization
KIDDO DENTAL PA
Active
Other names
Cesar Rotter DDS
Organization subpart
No
Provider details
NPI number
Authorized official
CESAR ROTTER DDS (DENTIST)
(210) 459-6800
Entity
Organization
Contact information
Practice address
20306 ENCINO LEDGE STE 106, KIDDO DENTAL, SAN ANTONIO, TX 78259
(210) 495-6800
(210) 495-6801
Mailing address
20306 ENCINO LEDGE STE 106, KIDDO DENTAL, SAN ANTONIO, TX 78259
(210) 495-6800
(210) 495-6801
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
23041
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182604207
—
TX
Enumeration date
04/12/2011
Last updated
04/12/2011
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