# ENHANCED SMILE STUDIO, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508555673
- **Authorized official:** RUIWEN MA (DDS)
- **Authorized official phone:** (213) 880-9316

## Contact information

- **Practice address:** 21715 W INTERSTATE 10 STE 105, SAN ANTONIO, TX 78257-2110
- **Practice address phone:** (213) 880-9316
- **Mailing address:** 18818 REAL RDG, SAN ANTONIO, TX 78256-1909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/04/2023
- **Last updated:** 05/04/2023