# DEZAVALA CUBE SMILES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023727880
- **Authorized official:** DR. GEETIKA RASTOGI DMD (OWNER)
- **Authorized official phone:** (832) 369-6941

## Contact information

- **Practice address:** 5230 DE ZAVALA RD STE 225, SAN ANTONIO, TX 78249-1731
- **Practice address phone:** (832) 369-6941
- **Practice address fax:** (512) 772-4082
- **Mailing address:** 3838 N SAM HOUSTON PKWY E STE 430, HOUSTON, TX 77032-3418
- **Mailing address phone:** (832) 369-6941
- **Mailing address fax:** (512) 772-4082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/21/2022
- **Last updated:** 11/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 25968 | DENTAL | TX |