BROADWAY PEDIATRIC DENTISTRY, PLLC

SAN ANTONIO, TX
NPI1962159400
Entity TypeOrganization
Authorized ContactJOANNA AYALA
Owner
121-063-2456
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
Enumeration Date2022-03-04
Last Update Date2022-03-04
Business Address
BROADWAY PEDIATRIC DENTISTRY, PLLC
3006 BROADWAY STE 103
SAN ANTONIO, TX 78209-1561
Phone number: 210-225-8888
Mailing Address
BROADWAY PEDIATRIC DENTISTRY, PLLC
PO BOX 356
LYTLE, TX 78052-0356
Phone number: