Organization
LITTLE STEPS PEDIATRIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUGO RIVERA (OWNER)
(210) 323-9192
Entity
Organization
Contact information
Practice address
10630 BRAUN RD, SAN ANTONIO, TX 78254-2733
(210) 323-9192
Mailing address
10630 BRAUN RD, SAN ANTONIO, TX 78254-2733
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22859
TEXAS STATE BOARD OF DENTAL EXAMINERS
TX
Enumeration date
09/29/2022
Last updated
06/05/2023
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