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Organization
SOUTHERN SMILES POTEET
Active
Organization
SOUTHERN SMILES POTEET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA FOULDS (FRONT)
(830) 276-3351
Entity
Organization
Contact information
Practice address
821 SCHOOL DR, POTEET, TX 78065
(830) 276-3351
(830) 742-3351
Mailing address
821 SCHOOL DR, POTEET, TX 78065
(830) 276-3351
(830) 742-3351
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13897
TX
1223G0001X
General Practice Dentistry
16188
TX
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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