Premier Smiles Pllc | |
1652 Pat Booker Rd Universal City TX 78148-3433 | |
(210) 658-4011 | |
(210) 658-3471 |
Full Name | Premier Smiles Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 1652 Pat Booker Rd, Universal City, Texas |
Authorized Official Name and Position | Ikenna Okafor (MANAGING MEMBER) |
Authorized Official Contact | 5125992491 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Premier Smiles Pllc 1652 Pat Booker Rd Universal City TX 78148-3433 Ph: (210) 658-4011 | Premier Smiles Pllc 1652 Pat Booker Rd Universal City TX 78148-3433 Ph: (210) 658-4011 |
NPI Number | 1164137303 |
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Provider Enumeration Date | 01/23/2023 |
Last Update Date | 01/23/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164137303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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