| NPI | 1508664319 |
|---|---|
| Former Legal Business Name | SOUTHSIDE CHILDREN'S DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DORIS ZERCHER Office Manager 210-922-3483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-03-06 |