| Kerrville Orthodontics, Pllc | |
|
1700 Sidney Baker St Ste 200 Kerrville TX 78028-2682 | |
| (830) 355-4488 | |
| Not Available |
| Full Name | Kerrville Orthodontics, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1700 Sidney Baker St Ste 200, Kerrville, Texas |
| Authorized Official Name and Position | Joanna Ayala (OWNER) |
| Authorized Official Contact | 2106324560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerrville Orthodontics, Pllc Po Box 356 Lytle TX 78052-0356 Ph: (121) 063-2456 | Kerrville Orthodontics, Pllc 1700 Sidney Baker St Ste 200 Kerrville TX 78028-2682 Ph: (830) 355-4488 |
| NPI Number | 1093572901 |
|---|---|
| Provider Enumeration Date | 03/06/2024 |
| Last Update Date | 03/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093572901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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