| South Texas Childrens Dentistry P.a. | |
|
408 S Getty St Uvalde TX 78801-5609 | |
| (830) 278-5009 | |
| Not Available |
| Full Name | South Texas Childrens Dentistry P.a. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 408 S Getty St, Uvalde, Texas |
| Authorized Official Name and Position | Victor Igunbola (PRESIDENT) |
| Authorized Official Contact | 8302785009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Texas Childrens Dentistry P.a. 408 S Getty St Uvalde TX 78801-5609 Ph: (830) 278-5009 | South Texas Childrens Dentistry P.a. 408 S Getty St Uvalde TX 78801-5609 Ph: (830) 278-5009 |
| NPI Number | 1538434048 |
|---|---|
| Provider Enumeration Date | 03/16/2012 |
| Last Update Date | 03/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538434048 | NPI | - | NPPES |
| 144619701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 18691 (Texas) | Primary |
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