Individual
DR. SHAWNA M BILLICK-GERLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
21714 HARDY OAK BLVD STE 102, SAN ANTONIO, TX 78258-4839
(210) 497-8787
(210) 495-6866
Mailing address
21714 HARDY OAK BLVD STE 102, SAN ANTONIO, TX 78258-4839
12104978787
(210) 495-6866
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
21204
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346257276
LITTLE TEETH OF TEXAS PA
TX
Enumeration date
08/21/2017
Last updated
06/16/2018
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