CAPTAIN KIDS DENTAL PLLC NPI 1992257133

NPI Information

CAPTAIN KIDS DENTAL, PLLC is a pediatric dentistry dentist in San Antonio, TX. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. CAPTAIN KIDS DENTAL, PLLC NPI is 1992257133. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17006 SAN PEDRO AVE
SAN ANTONIO, TX
ZIP 78232-231
Phone: (830) 772-4200

The provider's authorized official is Joanna Ayala .
The authorized official title is Managing Member and has the following contact phone number (210) 632-4560.

The enumeration date for this NPI number is 11/3/2016 and was last updated on 11/3/2016.

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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