Smilelife Orthodontics | |
17503 La Cantera Pkwy Ste 104-496 San Antonio TX 78257-8207 | |
(210) 561-2400 | |
(210) 561-2400 |
Full Name | Smilelife Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 17503 La Cantera Pkwy, San Antonio, Texas |
Authorized Official Name and Position | Ashley Smith (OWNER/PROVIDER) |
Authorized Official Contact | 3614424902 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Smilelife Orthodontics 1971 N Zaragoza Rd Bldg A El Paso TX 79938-7983 Ph: (915) 849-9400 | Smilelife Orthodontics 17503 La Cantera Pkwy Ste 104-496 San Antonio TX 78257-8207 Ph: (210) 561-2400 |
NPI Number | 1346686359 |
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Provider Enumeration Date | 05/16/2013 |
Last Update Date | 06/10/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346686359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 23677 (Texas) | Primary |
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