Dfw Smiles, Pllc | |
2700 William D Tate Ave Ste 100 Grapevine TX 76051-4346 | |
(817) 281-3444 | |
Not Available |
Full Name | Dfw Smiles, Pllc |
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Speciality | Dentist |
Location | 2700 William D Tate Ave Ste 100, Grapevine, Texas |
Authorized Official Name and Position | Matt Hale (AUTHORIZED REPRESENTATIVE) |
Authorized Official Contact | 2147020729 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dfw Smiles, Pllc 15660 Dallas Pkwy Ste 925 Dallas TX 75248-3323 Ph: (214) 702-0729 | Dfw Smiles, Pllc 2700 William D Tate Ave Ste 100 Grapevine TX 76051-4346 Ph: (817) 281-3444 |
NPI Number | 1821600248 |
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Provider Enumeration Date | 08/18/2020 |
Last Update Date | 08/18/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821600248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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