| Smilelife Orthodontics | |
|
17503 La Cantera Pkwy Ste 104-496 San Antonio TX 78257-8207 | |
| (210) 561-2400 | |
| (210) 561-2400 |
| Full Name | Smilelife Orthodontics |
|---|---|
| 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 |
|---|---|
| Smilelife Orthodontics 7878 Gateway Blvd. N Ste 300 El Paso TX 79915 Ph: (915) 595-1200 | Smilelife Orthodontics 17503 La Cantera Pkwy Ste 104-496 San Antonio TX 78257-8207 Ph: (210) 561-2400 |
| NPI Number | 1730525692 |
|---|---|
| Provider Enumeration Date | 05/20/2013 |
| Last Update Date | 06/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730525692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 23677 (Texas) | Primary |
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