Organization
SAN PEDRO SMILES P. A.
Active
Parent organization
SAN PEDRO SMILES P. A.
Other names
Blanco Smiles Dental Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN PEDRO SMILES P. A.
Authorized official
DR. JUSTIN JOSIAH GONZALEZ DDS (PRESIDENT)
(210) 341-7116
Entity
Organization
Contact information
Practice address
7254 BLANCO RD STE 207, SAN ANTONIO, TX 78216-4930
(210) 341-7116
(210) 366-9479
Mailing address
7254 BLANCO RD STE 207, SAN ANTONIO, TX 78216-4930
(210) 341-7116
(210) 366-9479
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22242
TX
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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