| Port Lavaca Smiles Pllc | |
|
233 Calhoun Plz Port Lavaca TX 77979-2422 | |
| (409) 548-0685 | |
| Not Available |
| Full Name | Port Lavaca Smiles Pllc |
|---|---|
| Speciality | Dentist |
| Location | 233 Calhoun Plz, Port Lavaca, Texas |
| Authorized Official Name and Position | Geetika Rastogi (OWNER) |
| Authorized Official Contact | 8323696941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Lavaca Smiles Pllc 3838 N Sam Houston Pkwy E Ste 430 Houston TX 77032-3418 Ph: (832) 369-6941 | Port Lavaca Smiles Pllc 233 Calhoun Plz Port Lavaca TX 77979-2422 Ph: (409) 548-0685 |
| NPI Number | 1407267487 |
|---|---|
| Provider Enumeration Date | 05/13/2014 |
| Last Update Date | 09/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407267487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 25968 (Texas) | Primary |
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