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Organization
PORT LAVACA SMILES PLLC
Active
Organization
PORT LAVACA SMILES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEETIKA RASTOGI (OWNER)
(832) 369-6941
Entity
Organization
Contact information
Practice address
233 CALHOUN PLZ, PORT LAVACA, TX 77979-2422
(409) 548-0685
Mailing address
3838 N SAM HOUSTON PKWY E STE 430, HOUSTON, TX 77032-3418
(832) 369-6941
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25968
TX
Other
Enumeration date
05/13/2014
Last updated
09/16/2022
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