| Keep Smilin Family Dental Pllc | |
|
2281 N.zaragoza Rd. Suite 102 & 103 El Paso TX 79938 | |
| (915) 855-3220 | |
| (915) 855-3404 |
| Full Name | Keep Smilin Family Dental Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2281 N.zaragoza Rd., El Paso, Texas |
| Authorized Official Name and Position | Ryan S Garcia (DENTIST) |
| Authorized Official Contact | 9158553220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keep Smilin Family Dental Pllc 2281 Zaragoza Rd 102 103 El Paso TX 79938-7987 Ph: (915) 855-3220 | Keep Smilin Family Dental Pllc 2281 N.zaragoza Rd. Suite 102 & 103 El Paso TX 79938 Ph: (915) 855-3220 |
| NPI Number | 1760751374 |
|---|---|
| Provider Enumeration Date | 12/28/2011 |
| Last Update Date | 04/30/2012 |
| Medicare PECOS PAC ID | 8022270743 |
|---|---|
| Medicare Enrollment ID | O20120425000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760751374 | NPI | - | NPPES |
| 21507 | Other | TX | TEXAS DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 21507 (Texas) | Primary |
| Provider Name | Ryan S Garcia |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1922098557 PECOS PAC ID: 0244492536 Enrollment ID: I20120502000739 |
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