| City Base Pediatric Dentistry, Pllc | |
|
2302 Se Military Dr Ste 101 San Antonio TX 78223-3586 | |
| (830) 772-5600 | |
| Not Available |
| Full Name | City Base Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2302 Se Military Dr Ste 101, San Antonio, Texas |
| Authorized Official Name and Position | Joanna Ayala (OWNER) |
| Authorized Official Contact | 8307725600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Base Pediatric Dentistry, Pllc Po Box 356 Lytle TX 78052-0356 Ph: (956) 725-3100 | City Base Pediatric Dentistry, Pllc 2302 Se Military Dr Ste 101 San Antonio TX 78223-3586 Ph: (830) 772-5600 |
| NPI Number | 1427652932 |
|---|---|
| Provider Enumeration Date | 11/24/2020 |
| Last Update Date | 11/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427652932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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