Organization
AMARILLO SUPER SMILES FOR KIDS PLLC
Active
Other names
Super Smiles for Kids
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MONTOYA DDS (OWNER)
(806) 581-4180
Entity
Organization
Contact information
Practice address
1900 S COULTER ST STE G, AMARILLO, TX 79106-1732
(806) 581-4180
(806) 255-8122
Mailing address
1900 S COULTER ST STE G, AMARILLO, TX 79106-1732
(806) 581-4180
(806) 255-8122
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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