| Smile Experts-port Lavaca Pllc | |
|
204 State Highway 35 S Port Lavaca TX 77979-2404 | |
| (361) 482-0458 | |
| (361) 482-0460 |
| Full Name | Smile Experts-port Lavaca Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 204 State Highway 35 S, Port Lavaca, Texas |
| Authorized Official Name and Position | Tee Semera (CREDENTIALING) |
| Authorized Official Contact | 4695569000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Experts-port Lavaca Pllc 1261 W Green Oaks Blvd Ste 101 Arlington TX 76013-8349 Ph: () - | Smile Experts-port Lavaca Pllc 204 State Highway 35 S Port Lavaca TX 77979-2404 Ph: (361) 482-0458 |
| NPI Number | 1215400825 |
|---|---|
| Provider Enumeration Date | 01/07/2019 |
| Last Update Date | 01/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215400825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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