| Smile Center For Kids I Pllc | |
|
1050 Sundland Park Drive Suite 200 B El Paso TX 79922 | |
| (915) 493-6310 | |
| Not Available |
| Full Name | Smile Center For Kids I Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1050 Sundland Park Drive, El Paso, Texas |
| Authorized Official Name and Position | Robert Wilson (PRESIDENT) |
| Authorized Official Contact | 9154936310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Center For Kids I Pllc 12801 Edgemere Blvd # B Suite 112 El Paso TX 79938-9500 Ph: () - | Smile Center For Kids I Pllc 1050 Sundland Park Drive Suite 200 B El Paso TX 79922 Ph: (915) 493-6310 |
| NPI Number | 1689072233 |
|---|---|
| Provider Enumeration Date | 12/15/2014 |
| Last Update Date | 12/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689072233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | 24420 (Texas) | Secondary |
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