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Organization

HELOTES PEDIATRIC DENTISTRY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOANNA AYALA (OWNER)
(210) 632-4560
Entity
Organization

Contact information

Practice address
11600 BANDERA RD STE 126, SAN ANTONIO, TX 78250-6806
(210) 256-8581
Mailing address
PO BOX 356, LYTLE, TX 78052-0356

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Enumeration date
05/31/2018
Last updated
07/28/2023
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