institution
Kiddo Dental Pa
Pediatric Dentist in San Antonio, Texas
NPI 1508156589

Kiddo Dental Pa is a Pediatric Dentist based in San Antonio, TX and is specialized in Pediatric Dentistry. Kiddo Dental Pa practices in San Antonio, TX. The NPI Number for Kiddo Dental Pa is 1508156589 and holds a License No. 23041 (Texas).

The current practice location address for Kiddo Dental Pa is 20306 Encino Ledge Ste 106, San Antonio, TX and can be reached out via phone at 210-495-6800 and via fax at 210-495-6801.

Location: 20306 Encino Ledge Ste 106, San Antonio, TX, 78259
institution
Provider Profile Details
NPI Number
1508156589
Provider Name
Kiddo Dental Pa
Credential
Provider Entity Type
Organization
Address
20306 Encino Ledge Ste 106, San Antonio, TX, 78259
Phone Number
210-495-6800
Fax Number
210-495-6801
Provider Enumeration Date
04/12/2011
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
182604207 05 TX
institution
Provider Business Practice Location Address Details
Address
20306 Encino Ledge Ste 106
City
State
Zip
78259
Phone Number
210-495-6800
Fax Number
210-495-6801
person
Provider Business Mailing Address Details
Address
20306 Encino Ledge Ste 106
City
State
Zip
78259
Phone Number
210-495-6800
Fax Number
210-495-6801
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
23041 (Texas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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