Individual
AYLA IDILBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9820 POTRANCO RD STE 106, SAN ANTONIO, TX 78251-9627
(210) 298-4000
Mailing address
15918 SIGHT SCAPE, SAN ANTONIO, TX 78255-3322
(904) 728-2423
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
34575
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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