| Bonham Smiles | |
|
2004 N Hwy 121 Ste 100 Bonham TX 75418-2339 | |
| (817) 809-4865 | |
| (682) 626-1824 |
| Full Name | Bonham Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2004 N Hwy 121 Ste 100, Bonham, Texas |
| Authorized Official Name and Position | Tee Semera (CREDENTIALING) |
| Authorized Official Contact | 8178094865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonham Smiles 1261 W Green Oaks Blvd Ste 103 Arlington TX 76013-8349 Ph: (817) 809-4865 | Bonham Smiles 2004 N Hwy 121 Ste 100 Bonham TX 75418-2339 Ph: (817) 809-4865 |
| NPI Number | 1104313295 |
|---|---|
| Provider Enumeration Date | 04/16/2018 |
| Last Update Date | 04/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104313295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 24348 (Texas) | Primary |
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