SAN PEDRO SMILES P.A. NPI 1255628582

NPI Information

SAN PEDRO SMILES P.A. is a general practice dentist in San Antonio, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SAN PEDRO SMILES P.A. NPI is 1255628582. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5101 SAN PEDRO AVE
SUITE 102
SAN ANTONIO, TX
ZIP 78212-461
Phone: (210) 737-6900
Fax: (210) 737-6904

The provider's authorized official is Justin J Gonzalez .
The authorized official title is Owner -dentist and has the following contact phone number (210) 737-6900.

The enumeration date for this NPI number is 7/7/2011 and was last updated on 7/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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