Texas Super Smiles For Kids Llc | |
2615 W 24th St Plainview TX 79072-1809 | |
(806) 296-6057 | |
(806) 293-5151 |
Full Name | Texas Super Smiles For Kids Llc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 2615 W 24th St, Plainview, Texas |
Authorized Official Name and Position | Stephen Montoya (OWNER) |
Authorized Official Contact | 4805161171 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Texas Super Smiles For Kids Llc 2615 W 24th St Plainview TX 79072-1809 Ph: (806) 296-6057 | Texas Super Smiles For Kids Llc 2615 W 24th St Plainview TX 79072-1809 Ph: (806) 296-6057 |
NPI Number | 1023666328 |
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Provider Enumeration Date | 08/29/2019 |
Last Update Date | 08/29/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023666328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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