| Full Smile Helotes Orthodontics, PLLC | |
|
11868 Bandera Rd Helotes TX 78023-4132 | |
| (210) 695-1738 | |
| (210) 695-1736 |
| Full Name | Full Smile Helotes Orthodontics, PLLC |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 11868 Bandera Rd, Helotes, Texas |
| Authorized Official Name and Position | Jennifer Williams (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8063531055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Smile Helotes Orthodontics, PLLC 11330 Potranco Rd Ste 105 San Antonio TX 78253-7282 Ph: (210) 695-1738 | Full Smile Helotes Orthodontics, PLLC 11868 Bandera Rd Helotes TX 78023-4132 Ph: (210) 695-1738 |
| NPI Number | 1952174120 |
|---|---|
| Provider Enumeration Date | 10/31/2023 |
| Last Update Date | 10/31/2023 |
| Certification Date | 10/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952174120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
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