Captain Kids Dental, Pllc

LBN: Captain Kids Dental, Pllc
Captain Kids Dental, Pllc is an health care organization with primary practice located at 17006 San Pedro Ave , San Antonio TX 78232-2231. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Captain Kids Dental, Pllc can be contacted via phone (830) 772-4200, or through Ayala, Joanna via phone (210) 632-4560.

Contact Information

Primary practice address
17006 San Pedro Ave San Antonio TX 78232-2231
Phone: (830) 772-4200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ayala, Joanna
Phone: (210) 632-4560

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1992257133
LBN Legal business name Captain Kids Dental, Pllc
DBA Doing business as
Authorized official Ayala, Joanna
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2016
Last updated Nov 3rd, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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