Organization
NANNIS LITTLE SMILES DENTISTRY FOR CHILDREN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANNI BAKER DDS (OWNER)
(830) 249-9888
Entity
Organization
Contact information
Practice address
415 S SCHOOL ST, BOERNE, TX 78006
(830) 249-9888
(830) 249-7919
Mailing address
415 S SCHOOL ST, BOERNE, TX 78006
(830) 249-9888
(830) 249-7919
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
18733
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17556
—
NM
05
—
90721401
—
TX
Enumeration date
10/25/2006
Last updated
01/16/2008
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