Individual
DR. ANDRE XAVIER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2606 E HOUSTON ST, SAN ANTONIO, TX 78202-3227
(210) 227-0962
(210) 227-6903
Mailing address
2606 E HOUSTON ST, SAN ANTONIO, TX 78202-3227
(210) 227-0962
(210) 227-6903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17116
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112458
DENTAL
TX
01
—
872974
DENTAL
TX
Enumeration date
02/02/2007
Last updated
07/09/2007
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