| Glorious Smiles | |
|
500 Flower Mound Rd Spc 101 Flower Mound TX 75028-3414 | |
| (972) 539-1995 | |
| (972) 539-1996 |
| Full Name | Glorious Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 500 Flower Mound Rd Spc 101, Flower Mound, Texas |
| Authorized Official Name and Position | Gloria Elizabeth Lopez-bhushan (PRESIDENT) |
| Authorized Official Contact | 9725391995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glorious Smiles 500 Flower Mound Rd Spc 101 Flower Mound TX 75028-3414 Ph: (972) 539-1995 | Glorious Smiles 500 Flower Mound Rd Spc 101 Flower Mound TX 75028-3414 Ph: (972) 539-1995 |
| NPI Number | 1407225394 |
|---|---|
| Provider Enumeration Date | 09/21/2015 |
| Last Update Date | 09/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407225394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21167 (Texas) | Primary |
Yong C Song Dds Pa Dental Clinic Medicare: Medicare Enrolled Practice Location: 3111 Cross Timbers Rd Ste 100, Flower Mound, TX 75028 Phone: 972-906-9797 Fax: 214-350-7836 | |
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Dazzle Dental Care, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 Flower Mound Rd, Suite 500, Flower Mound, TX 75028 Phone: 972-355-8568 | |
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