Organization
TEXAS SUPER SMILES FOR KIDS LLC
Active
Other names
Super Smiles 4 Kids
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN MONTOYA DDS (OWNER)
(480) 516-1171
Entity
Organization
Contact information
Practice address
2615 W 24TH ST, PLAINVIEW, TX 79072-1809
(806) 296-6057
(806) 293-5151
Mailing address
2615 W 24TH ST, PLAINVIEW, TX 79072-1809
(806) 296-6057
(806) 293-5151
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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