| 380 Smiles Pllc | |
|
4940 W. University Dr. Suite 40 Prosper TX 75078 | |
| (402) 650-7405 | |
| Not Available |
| Full Name | 380 Smiles Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4940 W. University Dr., Prosper, Texas |
| Authorized Official Name and Position | Vimal Patel (MANAGING MEMBER) |
| Authorized Official Contact | 4026507405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 380 Smiles Pllc 5355 Randwick Trl Frisco TX 75036-3996 Ph: () - | 380 Smiles Pllc 4940 W. University Dr. Suite 40 Prosper TX 75078 Ph: (402) 650-7405 |
| NPI Number | 1629538814 |
|---|---|
| Provider Enumeration Date | 03/22/2019 |
| Last Update Date | 03/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629538814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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