| Outreach For Smiles, Pllc | |
|
4047 Stahl Rd Ste 1 San Antonio TX 78217-1670 | |
| (210) 566-8668 | |
| Not Available |
| Full Name | Outreach For Smiles, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4047 Stahl Rd Ste 1, San Antonio, Texas |
| Authorized Official Name and Position | Dan Marcuse (OWNER) |
| Authorized Official Contact | 2104125798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outreach For Smiles, Pllc 4047 Stahl Rd Ste 1 San Antonio TX 78217-1670 Ph: (210) 566-8668 | Outreach For Smiles, Pllc 4047 Stahl Rd Ste 1 San Antonio TX 78217-1670 Ph: (210) 566-8668 |
| NPI Number | 1093096059 |
|---|---|
| Provider Enumeration Date | 09/05/2011 |
| Last Update Date | 09/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093096059 | NPI | - | NPPES |
| 1760628010 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11436 (Texas) | Primary |
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