| Fresh Smiles Pllc | |
|
2001 W. St Hwy 71 Suite 20 La Grange TX 78945 | |
| (817) 451-4740 | |
| Not Available |
| Full Name | Fresh Smiles Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2001 W. St Hwy 71, La Grange, Texas |
| Authorized Official Name and Position | Gaurav Puri (OWNER DENTIST) |
| Authorized Official Contact | 8174514740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Smiles Pllc 2001 W. St Hwy 71 Suite 20 La Grange TX 78945 Ph: () - | Fresh Smiles Pllc 2001 W. St Hwy 71 Suite 20 La Grange TX 78945 Ph: (817) 451-4740 |
| NPI Number | 1417496415 |
|---|---|
| Provider Enumeration Date | 02/23/2017 |
| Last Update Date | 02/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417496415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 24365 (Texas) | Primary |
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Fresh Smiles-la Grange Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 W State Highway 71 Ste 20, La Grange, TX 78945 Phone: 979-633-3111 |