Space City Pediatric Dentistry
NPI #1487811659 in Friendswood, Texas
Provider Information
- NPI Number
- 1487811659
- Entity Type
- Organization
- Organization Name
- Space City Pediatric Dentistry
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- May 16, 2008
- Last Updated
- Oct 30, 2023
Practice Location
- Address
- 18174 GULF FWY STE 100
- City
- Friendswood
- State
- Texas
- ZIP Code
- 77546-2722
- Phone
- (281) 484-7732
Authorized Official
- Name
- BRET A IBARRA, DDS, MSD
- Title
- OWNER
- Phone
- (281) 484-7732
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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