| Senior Smiles Pa | |
|
2550 S Ih 35 Suite 215 Austin TX 78704-5722 | |
| (512) 381-5572 | |
| (888) 503-5605 |
| Full Name | Senior Smiles Pa |
|---|---|
| Speciality | Dentist |
| Location | 2550 S Ih 35, Austin, Texas |
| Authorized Official Name and Position | Gregory Kon (PRESIDENT & OWNER) |
| Authorized Official Contact | 5123815572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Smiles Pa Po Box 41266 Austin TX 78704-0022 Ph: (512) 381-5572 | Senior Smiles Pa 2550 S Ih 35 Suite 215 Austin TX 78704-5722 Ph: (512) 381-5572 |
| NPI Number | 1538559422 |
|---|---|
| Provider Enumeration Date | 01/29/2015 |
| Last Update Date | 01/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538559422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 25128 (Texas) | Primary |
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