| All Smiles Dental Center | |
|
7910 Teak Ln Ste 207 San Antonio TX 78209-1764 | |
| (210) 804-2212 | |
| (210) 804-2355 |
| Full Name | All Smiles Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7910 Teak Ln Ste 207, San Antonio, Texas |
| Authorized Official Name and Position | Patricia De La Rosa (OFFICE MANAGER) |
| Authorized Official Contact | 2108042212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| All Smiles Dental Center 7910 Teak Ln Ste 207 San Antonio TX 78209-1764 Ph: (210) 804-2212 | All Smiles Dental Center 7910 Teak Ln Ste 207 San Antonio TX 78209-1764 Ph: (210) 804-2212 |
| NPI Number | 1043640998 |
|---|---|
| Provider Enumeration Date | 11/13/2013 |
| Last Update Date | 03/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043640998 | NPI | - | NPPES |
| 111234402 | Medicaid | TX | |
| 2160095-01 | Medicaid | TX | |
| 2819658-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14393 (Texas) | Primary |
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