Organization
SMILE STATION PEDIATRIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRYSTLE GARZA-PEISEN DDS (PEDIATRIC DENTIST)
(956) 821-0236
Entity
Organization
Contact information
Practice address
5011 S. MCCOLL, EDINBURG, TX 78539
(956) 821-0236
Mailing address
5011 S. MCCOLL RD, EDINBURG, TX 78539
(956) 821-0236
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22818
TX
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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