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Organization
MOONLIGHT SMILES, PLLC
Active
Organization
MOONLIGHT SMILES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE SOTO DDS (OWNER)
(972) 786-1734
Entity
Organization
Contact information
Practice address
1100 S JACKSON RD STE 1, MCALLEN, TX 78503-1636
(972) 482-2047
(972) 764-8760
Mailing address
2500 N HOUSTON ST APT 1204, DALLAS, TX 75219-7659
(972) 786-1734
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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