Organization
BEXAR DENTAL CENTER
Active
Other names
The Smile Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID J. YASSA DDS (BILLING/COLLECTIONS SPECIALIST)
(210) 771-7327
Entity
Organization
Contact information
Practice address
803 CASTROVILLE RD, SUITE 412, SAN ANTONIO, TX 78237-3153
(210) 435-6090
Mailing address
803 CASTROVILLE RD, SUITE 412, SAN ANTONIO, TX 78237-3153
(210) 435-6090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G-60109-4
TEXAS CHIP PROVIDER ID
TX
Enumeration date
10/20/2006
Last updated
08/07/2008
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