| Kidsmile | |
|
2141 Hamilton Way Ste 104 San Angelo TX 76904-6887 | |
| (325) 949-6656 | |
| Not Available |
| Full Name | Kidsmile |
|---|---|
| Speciality | Dentist |
| Location | 2141 Hamilton Way Ste 104, San Angelo, Texas |
| Authorized Official Name and Position | Daniel J Hinckley (OWNER) |
| Authorized Official Contact | 3259496656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidsmile 2141 Hamilton Way Ste 104 San Angelo TX 76904-6887 Ph: (325) 949-6656 | Kidsmile 2141 Hamilton Way Ste 104 San Angelo TX 76904-6887 Ph: (325) 949-6656 |
| NPI Number | 1558537316 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 05/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558537316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 15327 (Texas) | Primary |
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