Individual provider · Type 1 NPI

Ana M. Lavermicocca

Pediatric Dentistry · San Antonio, TX

NPI number 1144743543 Active

Practice location

125 SW Military Dr
San Antonio, TX 78221-1650

Mailing address

17903 Camino Grande
San Antonio, TX 78257-5007

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X33278 (TX)

Pediatric Dentistry: 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.

10 other providers at this address

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About NPI 1144743543

Ana M. Lavermicocca's National Provider Identifier is 1144743543, issued on Jul 18, 2017. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in San Antonio, TX. The record was last updated on Jul 18, 2017.