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Organization
ENHANCED SMILE STUDIO, PLLC
Active
Organization
ENHANCED SMILE STUDIO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUIWEN MA (DDS)
(213) 880-9316
Entity
Organization
Contact information
Practice address
21715 W INTERSTATE 10 STE 105, SAN ANTONIO, TX 78257-2110
(213) 880-9316
Mailing address
18818 REAL RDG, SAN ANTONIO, TX 78256-1909
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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