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Organization
SMILE STRUCTURE, PLLC
Active
Organization
SMILE STRUCTURE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW THOMAS SCRAVER DDS (OWNER)
(210) 546-1337
Entity
Organization
Contact information
Practice address
6035 NW LOOP 410, STE 107, SAN ANTONIO, TX 78238-3301
(210) 546-1337
Mailing address
6035 NW LOOP 410, STE 107, SAN ANTONIO, TX 78238-3301
(210) 546-1337
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22951
TX
Other
Enumeration date
05/13/2010
Last updated
02/03/2011
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