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Individual

KIRSTEN FOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8606 VILLAGE DR STE B, SAN ANTONIO, TX 78217-5506
(210) 654-6882
Mailing address
8606 VILLAGE DR STE B, SAN ANTONIO, TX 78217-5506

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
36051
TX

Other

Enumeration date
09/23/2019
Last updated
07/02/2021
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