Kerrville Orthodontics, Pllc | |
1700 Sidney Baker St Ste 200 Kerrville TX 78028-2682 | |
(830) 355-4488 | |
Not Available |
Full Name | Kerrville Orthodontics, Pllc |
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Speciality | Clinic/center - Dental |
Location | 1700 Sidney Baker St Ste 200, Kerrville, 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 |
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Kerrville Orthodontics, Pllc Po Box 356 Lytle TX 78052-0356 Ph: (121) 063-2456 | Kerrville Orthodontics, Pllc 1700 Sidney Baker St Ste 200 Kerrville TX 78028-2682 Ph: (830) 355-4488 |
NPI Number | 1093572901 |
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Provider Enumeration Date | 03/06/2024 |
Last Update Date | 03/06/2024 |
Identifier | Type | State | Issuer |
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1093572901 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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