| Cibolo Pediatric Dentistry, Pllc | |
|
3738 Cibolo Valley Dr. Cibolo TX 78108 | |
| (830) 772-4200 | |
| Not Available |
| Full Name | Cibolo Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3738 Cibolo Valley Dr., Cibolo, Texas |
| Authorized Official Name and Position | Joanna Ayala (OWNER) |
| Authorized Official Contact | 2106324560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cibolo Pediatric Dentistry, Pllc Po Box 356 Lytle TX 78052-0356 Ph: () - | Cibolo Pediatric Dentistry, Pllc 3738 Cibolo Valley Dr. Cibolo TX 78108 Ph: (830) 772-4200 |
| NPI Number | 1346732807 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 09/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346732807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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