Ivy Lane Dentistry
Ivy Lane Dentistry is a General Practice Dentistry in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2006.
- Licensed in
- TX
- In the registry since
- 2006
Practice location Address checks out
1073 Ivy LnSan Antonio, TX 78209-6061
Phone: (210) 824-9566
Fax: (210) 824-9975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 19612 (TX) |
|---|
Record details
| NPI number | 1467539577 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Matthew Westerberg — Owner · (210) 824-9566 |
| NPI enumerated | November 1, 2006 |
| Last updated in NPPES | April 7, 2010 |
| Mailing address | 1073 Ivy Ln, San Antonio, TX 78209-6061 |
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