| Precision Smile Structure Ingram | |
|
6035 Nw Loop 410 Ste 107 San Antonio TX 78238-3301 | |
| (210) 546-1337 | |
| Not Available |
| Full Name | Precision Smile Structure Ingram |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6035 Nw Loop 410 Ste 107, San Antonio, Texas |
| Authorized Official Name and Position | Adam Smith (OWNER) |
| Authorized Official Contact | 5304155483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Precision Smile Structure Ingram 6035 Nw Loop 410 Ste 107 San Antonio TX 78238-3301 Ph: () - | Precision Smile Structure Ingram 6035 Nw Loop 410 Ste 107 San Antonio TX 78238-3301 Ph: (210) 546-1337 |
| NPI Number | 1710415989 |
|---|---|
| Provider Enumeration Date | 05/31/2017 |
| Last Update Date | 12/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710415989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 27468 (Texas) | Primary |
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