Organization
DOMINION PEDIATRIC DENTISTRY PLLC
Active
Other names
Dominion Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMIE PREECE (OFFICE MANAGER)
(210) 491-4141
Entity
Organization
Contact information
Practice address
24165 IH 10 W, SUITE #121, SAN ANTONIO, TX 78257-1159
(210) 698-6143
Mailing address
24165 IH 10 W, SUITE #121, SAN ANTONIO, TX 78257-1159
(210) 698-6143
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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