| Little Smiles Studio Sa, Pllc | |
|
14510 Nw Military Hwy Ste 105 Shavano Park TX 78231-1621 | |
| (210) 469-8730 | |
| Not Available |
| Full Name | Little Smiles Studio Sa, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 14510 Nw Military Hwy Ste 105, Shavano Park, Texas |
| Authorized Official Name and Position | Joanna Ayala (MANAGING MEMBER) |
| Authorized Official Contact | 2106324560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Smiles Studio Sa, Pllc Po Box 356 Lytle TX 78052-0356 Ph: () - | Little Smiles Studio Sa, Pllc 14510 Nw Military Hwy Ste 105 Shavano Park TX 78231-1621 Ph: (210) 469-8730 |
| NPI Number | 1710492442 |
|---|---|
| Provider Enumeration Date | 12/04/2017 |
| Last Update Date | 12/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710492442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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