Organization
BEYOND SMILES, PLLC
Active
Other names
Smile Park Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SHRADDHA KEWALRAMANI (OWNER)
(857) 222-1720
Entity
Organization
Contact information
Practice address
3830 MCCULLOUGH AVE STE 300, SAN ANTONIO, TX 78212-5260
(857) 222-1720
Mailing address
3830 MCCULLOUGH AVE STE 300, SAN ANTONIO, TX 78212-5260
(857) 222-1720
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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