IVY LANE DENTISTRY NPI 1467539577

NPI Information

IVY LANE DENTISTRY is a general practice dentist in San Antonio, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. IVY LANE DENTISTRY NPI is 1467539577. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1073 IVY LN
SAN ANTONIO, TX
ZIP 78209-061
Phone: (210) 824-9566
Fax: (210) 824-9975

The provider's authorized official is Matthew Louis Westerberg .
The authorized official title is Owner and has the following contact phone number (210) 824-9566.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 4/7/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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