Organization
SAN PEDRO AVENUE KIDS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA ABROTSKY (CREDENTIALING SPECIALIST)
(720) 603-4788
Entity
Organization
Contact information
Practice address
17119 SAN PEDRO AVE, SAN ANTONIO, TX 78232-2232
(720) 603-4800
Mailing address
17119 SAN PEDRO AVE, SAN ANTONIO, TX 78232-2232
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
12/11/2019
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