Organization
A BRIGHT SMILE 4 KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER CHARLES WATKINS D.D.S. (OWNER DENTIST)
(210) 927-3000
Entity
Organization
Contact information
Practice address
3606 S ZARZAMORA ST, SAN ANTONIO, TX 78225-1359
(210) 927-3000
(210) 332-5190
Mailing address
3606 S ZARZAMORA ST, SAN ANTONIO, TX 78225-1359
(210) 927-3000
(210) 332-5190
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25349
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184786147
—
TX
Enumeration date
03/09/2011
Last updated
03/09/2011
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