Great Smiles | |
126 N International Rd Ste A Garland TX 75042-6515 | |
(972) 295-9631 | |
(972) 295-9632 |
Full Name | Great Smiles |
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Speciality | Dentist - General Practice |
Location | 126 N International Rd Ste A, Garland, Texas |
Authorized Official Name and Position | Sharon Garza (CREDENTIALING MANAGER) |
Authorized Official Contact | 4697067057 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Great Smiles 126 N International Rd Ste A Garland TX 75042-6515 Ph: (972) 295-9631 | Great Smiles 126 N International Rd Ste A Garland TX 75042-6515 Ph: (972) 295-9631 |
NPI Number | 1760030514 |
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Provider Enumeration Date | 08/26/2019 |
Last Update Date | 12/16/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760030514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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