| Full Smile Dental Prosper Trail Orthodontics, Pllc | |
|
821 N Coleman St Ste 110 Prosper TX 75078-2305 | |
| (972) 347-1700 | |
| Not Available |
| Full Name | Full Smile Dental Prosper Trail Orthodontics, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 821 N Coleman St Ste 110, Prosper, Texas |
| Authorized Official Name and Position | William Graves (OWNER) |
| Authorized Official Contact | 8063531055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Smile Dental Prosper Trail Orthodontics, Pllc 821 N Coleman St Ste 110 Prosper TX 75078-2305 Ph: (972) 347-1700 | Full Smile Dental Prosper Trail Orthodontics, Pllc 821 N Coleman St Ste 110 Prosper TX 75078-2305 Ph: (972) 347-1700 |
| NPI Number | 1891407110 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 12/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891407110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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