| Big Grin Dental | |
|
3046 Lavon Drive Suite 125,127 Garland TX 75040 | |
| (803) 446-2831 | |
| Not Available |
| Full Name | Big Grin Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3046 Lavon Drive, Garland, Texas |
| Authorized Official Name and Position | Nisha Liz John (PRESIDENT) |
| Authorized Official Contact | 8034462831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Grin Dental 12040 Ashaway Lane Frisco TX 75035 Ph: (803) 446-2831 | Big Grin Dental 3046 Lavon Drive Suite 125,127 Garland TX 75040 Ph: (803) 446-2831 |
| NPI Number | 1124478375 |
|---|---|
| Provider Enumeration Date | 06/20/2016 |
| Last Update Date | 06/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124478375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 28575 (Texas) | Primary |
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