Moonlight Smiles, Pllc

NPI #1043784390 in Mcallen, Texas

Provider Information

NPI Number: 1043784390
Entity Type: Organization
Organization Name: Moonlight Smiles, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 18, 2019
Last Updated: Jan 18, 2019

Practice Location

Address: 1100 S JACKSON RD STE 1
City: Mcallen
State: Texas
ZIP Code: 78503-1636
Phone: (972) 482-2047

Authorized Official

Name: MR. JOSE SOTO, DDS
Title: OWNER
Phone: (972) 786-1734

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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