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Organization
TEXAN SMILE DENTISTRY 1 PC
Active
Organization
TEXAN SMILE DENTISTRY 1 PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BERTHA ELIZABETH RODRIGUEZ (REGIONAL MANAGER)
(210) 681-4867
Entity
Organization
Contact information
Practice address
5858 S PADRE ISLAND DR, #54A, CORPUS CHRISTI, TX 78412-3932
(361) 994-4867
(361) 994-1655
Mailing address
5858 S PADRE ISLAND DR, #54A, CORPUS CHRISTI, TX 78412-3932
(361) 994-4867
(361) 994-1655
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15889
TX
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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