| NPI | 1265849095 |
|---|---|
| Doing Business As | PEDIATRIC DENTISTRY OF SAN ANTONIO |
| Entity Type | Organization |
| Authorized Contact | DERRICK EMERY CANTU Owner 210-680-7841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |