Organization
WINDCREST PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVESTER C. AWAGU DMD (OWNER)
(210) 657-4641
Entity
Organization
Contact information
Practice address
5500 WALZEM RD, SAN ANTONIO, TX 78218-2103
(210) 657-4641
(210) 655-4012
Mailing address
5500 WALZEM RD, SAN ANTONIO, TX 78218-2103
(210) 657-4641
(210) 655-4012
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
24209
TX
Other
Enumeration date
05/25/2012
Last updated
10/11/2012
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