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Organization
32 SMILES DENTAL WELLNESS CENTER, PLLC
Active
Organization
32 SMILES DENTAL WELLNESS CENTER, PLLC
Active
Other names
RIO DENTAL
Organization subpart
Yes
Provider details
NPI number
Authorized official
DR. SIDRA IQBAL DDS (MD)
(978) 728-2351
Entity
Organization
Contact information
Practice address
2811 HILLCREST DR, SAN ANTONIO, TX 78201-7047
(210) 785-8526
Mailing address
2811 HILLCREST DR, SAN ANTONIO, TX 78201-7047
(210) 785-8526
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024795140
—
CA
05
—
351923464
—
CO
Enumeration date
12/23/2021
Last updated
05/05/2022
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