| Nannis Little Smiles Dentistry For Children Pa | |
|
415 S School St Boerne TX 78006 | |
| (830) 249-9888 | |
| (830) 249-7919 |
| Full Name | Nannis Little Smiles Dentistry For Children Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 415 S School St, Boerne, Texas |
| Authorized Official Name and Position | Nanni Baker (OWNER) |
| Authorized Official Contact | 8302499888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nannis Little Smiles Dentistry For Children Pa 415 S School St Boerne TX 78006 Ph: (830) 249-9888 | Nannis Little Smiles Dentistry For Children Pa 415 S School St Boerne TX 78006 Ph: (830) 249-9888 |
| NPI Number | 1801970579 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 01/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801970579 | NPI | - | NPPES |
| 17556 | Medicaid | NM | |
| 90721401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 18733 (Texas) | Primary |
Boerne's Little Smiles Dentistry For Children, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 S School St, Boerne, TX 78006 Phone: 830-249-9888 Fax: 830-249-7919 | |
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Little Smiles Dentistry For Children Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 S School St, Boerne, TX 78006 Phone: 830-249-9888 Fax: 830-249-7919 |