Organization
DEZAVALA CUBE SMILES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEETIKA RASTOGI DMD (OWNER)
(832) 369-6941
Entity
Organization
Contact information
Practice address
5230 DE ZAVALA RD STE 225, SAN ANTONIO, TX 78249-1731
(832) 369-6941
(512) 772-4082
Mailing address
3838 N SAM HOUSTON PKWY E STE 430, HOUSTON, TX 77032-3418
(832) 369-6941
(512) 772-4082
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25968
DENTAL
TX
Enumeration date
11/21/2022
Last updated
11/21/2022
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