| NPI | 1225409139 |
|---|---|
| Doing Business As | KERRVILLE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | REX ELWYN WILDEY Owner 830-255-4197 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 25425) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2016-03-01 |