Organization
SHAENFIELD PEDIATRIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA AYALA (MANAGING MEMBER)
(210) 632-4560
Entity
Organization
Contact information
Practice address
11590 GALM RD STE 105, SAN ANTONIO, TX 78254-4549
(210) 672-4200
Mailing address
PO BOX 356, LYTLE, TX 78052-0356
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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