Organization · Type 2 NPI

Kusom Pediatric Dental South PLLC

Pediatric Dentistry · San Antonio, TX

NPI number 1669011235 Active

Practice location

1134 Culebra Rd Ste 109
San Antonio, TX 78201-6080

Call (210) 888-0700 Map

Fax (210) 625-7398

Mailing address

18707 Hardy Oak Blvd Ste 305
San Antonio, TX 78258-4895

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

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.

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About NPI 1669011235

Kusom Pediatric Dental South PLLC's National Provider Identifier is 1669011235, issued on Dec 31, 2019. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in San Antonio, TX. The record was last updated on Oct 13, 2020.