| Elite Smile Center of the Woodlands | |
|
121 Vision Park Blvd Ste 130 Shenandoah TX 77384-3028 | |
| (832) 404-2808 | |
| (832) 409-0201 |
| Full Name | Elite Smile Center of the Woodlands |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 121 Vision Park Blvd Ste 130, Shenandoah, Texas |
| Authorized Official Name and Position | Rose Michelle Cantu (DENTIST OWNER) |
| Authorized Official Contact | 8324042808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Smile Center of the Woodlands 121 Vision Park Blvd Ste 130 Shenandoah TX 77384-3028 Ph: (832) 404-2808 | Elite Smile Center of the Woodlands 121 Vision Park Blvd Ste 130 Shenandoah TX 77384-3028 Ph: (832) 404-2808 |
| NPI Number | 1194604066 |
|---|---|
| Provider Enumeration Date | 08/27/2025 |
| Last Update Date | 08/27/2025 |
| Certification Date | 08/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194604066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | () | Secondary |
| 1223G0001X | Dentist - General Practice | () | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | () | Secondary |
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