Smilerx | |
102 Estrella Horseshoe Bay TX 78657 | |
(702) 738-5334 | |
Not Available |
Full Name | Smilerx |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 102 Estrella, Horseshoe Bay, Texas |
Authorized Official Name and Position | Chester Lynn Hurst (OWNER/CEO/PRESIDENT) |
Authorized Official Contact | 7027385334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Smilerx Po Box 8171 Horseshoe Bay TX 78657-8171 Ph: (702) 738-5334 | Smilerx 102 Estrella Horseshoe Bay TX 78657 Ph: (702) 738-5334 |
NPI Number | 1790094043 |
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Provider Enumeration Date | 10/05/2010 |
Last Update Date | 09/06/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790094043 | NPI | - | NPPES |
1208795 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 14067 (Texas) | Primary |
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