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Contact Information

A BRIGHT SMILE 4 KIDS, LLC
3606 S ZARZAMORA ST
SAN ANTONIO, TX78225-1359
 Phone: 210-927-3000
 Fax: 210-332-5190
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for A BRIGHT SMILE 4 KIDS LLC · (Female)

NPI # 1841598257
Status Active
Credentials
Entity Individual
Enumeration date 03/09/2011
Last updated 03/09/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # 25349
  • TX Medicaid 1184786147
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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