Provider First Line Business Practice Location Address:
SMILE STATION PEDIATRIC DENTISTRY
Provider Second Line Business Practice Location Address:
5011 S. MCCOLL RD
Provider Business Practice Location Address City Name:
EDINBURG
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78539
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-686-4449
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/16/2007