Provider Demographics
NPI:1740587989
Name:CUTE SMILES 4 KIDS OF SAN ANTONIO
Entity Type:Organization
Organization Name:CUTE SMILES 4 KIDS OF SAN ANTONIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:480-258-1876
Mailing Address - Street 1:823 BANDERA RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-5227
Mailing Address - Country:US
Mailing Address - Phone:210-435-3333
Mailing Address - Fax:210-435-3334
Practice Address - Street 1:823 BANDERA RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-5227
Practice Address - Country:US
Practice Address - Phone:210-435-3333
Practice Address - Fax:210-435-3334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-24
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty