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Organization
OUTREACH FOR SMILES, PLLC
Active
Organization
OUTREACH FOR SMILES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN MARCUSE DDS (OWNER)
(210) 412-5798
Entity
Organization
Contact information
Practice address
4047 STAHL RD STE 1, SAN ANTONIO, TX 78217-1670
(210) 566-8668
Mailing address
4047 STAHL RD STE 1, SAN ANTONIO, TX 78217-1670
(210) 566-8668
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11436
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760628010
NPI
TX
Enumeration date
09/05/2011
Last updated
09/05/2011
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