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1962159400
BROADWAY PEDIATRIC DENTISTRY, PLLC
SAN ANTONIO, TX
NPI
1962159400
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Entity Type
Organization
Authorized Contact
JOANNA AYALA
Owner
121-063-2456
Organization Subpart ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
Enumeration Date
2022-03-04
Last Update Date
2022-03-04
Business Address
BROADWAY PEDIATRIC DENTISTRY, PLLC
3006 BROADWAY STE 103
SAN ANTONIO, TX 78209-1561
Phone number: 210-225-8888
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Mailing Address
BROADWAY PEDIATRIC DENTISTRY, PLLC
PO BOX 356
LYTLE, TX 78052-0356
Phone number:
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