Individual
ISHMAEL PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2940 STANLEY RD, SAN ANTONIO, TX 78234-2740
(210) 295-4156
Mailing address
20710 HUEBNER RD APT 3209, SAN ANTONIO, TX 78258-2540
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
08/25/2023
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