Organization
SAN MARCOS PEDIATRIC DENTISTRY AND ORTHODONTICS
Active
Other names
San Marcos Pediatric Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK LEUNG DMD (OWNER)
(512) 353-5500
Entity
Organization
Contact information
Practice address
1330 WONDER WORLD DR STE 103, SAN MARCOS, TX 78666-7567
(512) 353-5500
(512) 353-1619
Mailing address
1330 WONDER WORLD DR STE 103, SAN MARCOS, TX 78666-7567
(512) 353-5500
(512) 353-1619
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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