# AESTHETIC AND HEALTHY SMILE, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AAH SMILE, PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932150802
- **Authorized official:** JOHNNY C CAVAZOS DDS (PRESIDENT)
- **Authorized official phone:** (956) 723-5533

## Contact information

- **Practice address:** 4403 DAUGHERTY AVE, LAREDO, TX 78041-3848
- **Practice address phone:** (956) 723-5533
- **Practice address fax:** (956) 723-7513
- **Mailing address:** 4403 DAUGHERTY AVE, LAREDO, TX 78041-3848
- **Mailing address phone:** (956) 723-5533
- **Mailing address fax:** (956) 723-7513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 17649 | TX | Yes |

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 08/22/2020
