Organization
PREMIER SMILES PLLC
Active
Other names
UNIVERSAL DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IKENNA OKAFOR DDS (MANAGING MEMBER)
(512) 599-2491
Entity
Organization
Contact information
Practice address
1652 PAT BOOKER RD, UNIVERSAL CITY, TX 78148-3433
(210) 658-4011
(210) 658-3471
Mailing address
1652 PAT BOOKER RD, UNIVERSAL CITY, TX 78148-3433
(210) 658-4011
(210) 658-3471
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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