| Ennis Smiles Pllc | |
|
1012 E Ennis Ave Ennis TX 75119-4345 | |
| (972) 875-2501 | |
| Not Available |
| Full Name | Ennis Smiles Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1012 E Ennis Ave, Ennis, Texas |
| Authorized Official Name and Position | Sudha Lakhwani (DENTIST) |
| Authorized Official Contact | 2014234032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ennis Smiles Pllc 1012 E Ennis Ave Ennis TX 75119-4345 Ph: (972) 875-2501 | Ennis Smiles Pllc 1012 E Ennis Ave Ennis TX 75119-4345 Ph: (972) 875-2501 |
| NPI Number | 1104567395 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 04/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104567395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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