King Smiles

NPI #1134300163 in Lakeway, Texas

Provider Information

NPI Number: 1134300163
Entity Type: Organization
Organization Name: King Smiles
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 19, 2007
Last Updated: Nov 19, 2007

Practice Location

Address: 208 SENDERA BONITA
City: Lakeway
State: Texas
ZIP Code: 78734-3951
Phone: (512) 832-6225

Authorized Official

Name: MICHAEL S ISTRE, DDS
Title: OWNER
Phone: (512) 832-6225

Specialties & Taxonomy Codes

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

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