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2163 Stephens Pl Suite 106 New Braunfels TX 78130-2168 | |
| (713) 299-3979 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2163 Stephens Pl, New Braunfels, Texas |
| Authorized Official Name and Position | Jaime Simmons (OWNER) |
| Authorized Official Contact | 7132993979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2163 Stephens Pl Suite 106 New Braunfels TX 78130-2168 Ph: () - | 2163 Stephens Pl Suite 106 New Braunfels TX 78130-2168 Ph: (713) 299-3979 |
| NPI Number | 1154865731 |
|---|---|
| Provider Enumeration Date | 12/15/2016 |
| Last Update Date | 12/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154865731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 31452 (Texas) | Primary |
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