| San Pedro Avenue Kids Dental | |
|
17119 San Pedro Ave San Antonio TX 78232-2232 | |
| (720) 603-4800 | |
| Not Available |
| Full Name | San Pedro Avenue Kids Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 17119 San Pedro Ave, San Antonio, Texas |
| Authorized Official Name and Position | Gina Abrotsky (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7206034788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Pedro Avenue Kids Dental 17119 San Pedro Ave San Antonio TX 78232-2232 Ph: () - | San Pedro Avenue Kids Dental 17119 San Pedro Ave San Antonio TX 78232-2232 Ph: (720) 603-4800 |
| NPI Number | 1760974273 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 12/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760974273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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