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Organization
SMILE CENTER FOR KIDS PLLC
Active
Organization
SMILE CENTER FOR KIDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GREGORY WILSON DMD (PRESIDENT)
(915) 493-6310
Entity
Organization
Contact information
Practice address
12801 EDGEMERE BLVD # B, STE 112, EL PASO, TX 79938-9500
(915) 493-6310
(915) 493-6316
Mailing address
12801 EDGEMERE BLVD # B, STE 112, EL PASO, TX 79938-9500
(915) 493-6310
(915) 493-6316
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
123456
TX
Other
Enumeration date
07/09/2013
Last updated
12/21/2022
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