| Moonlight Smiles, Pllc | |
|
1100 S Jackson Rd Ste 1 Mcallen TX 78503-1636 | |
| (972) 482-2047 | |
| (972) 764-8760 |
| Full Name | Moonlight Smiles, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1100 S Jackson Rd Ste 1, Mcallen, Texas |
| Authorized Official Name and Position | Jose Soto (OWNER) |
| Authorized Official Contact | 9727861734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moonlight Smiles, Pllc 2500 N Houston St Apt 1204 Dallas TX 75219-7659 Ph: (972) 786-1734 | Moonlight Smiles, Pllc 1100 S Jackson Rd Ste 1 Mcallen TX 78503-1636 Ph: (972) 482-2047 |
| NPI Number | 1043784390 |
|---|---|
| Provider Enumeration Date | 01/18/2019 |
| Last Update Date | 01/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043784390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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