| Ismile Family Dental Pa | |
|
825 West Royal Lane Ste 210 Irving TX 75039 | |
| (214) 620-7445 | |
| Not Available |
| Full Name | Ismile Family Dental Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 825 West Royal Lane, Irving, Texas |
| Authorized Official Name and Position | Sujatha Tella (DIRECTOR) |
| Authorized Official Contact | 2146207445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ismile Family Dental Pa 108 San Gabriel Dr Irving TX 75039-3350 Ph: (214) 620-7445 | Ismile Family Dental Pa 825 West Royal Lane Ste 210 Irving TX 75039 Ph: (214) 620-7445 |
| NPI Number | 1477808442 |
|---|---|
| Provider Enumeration Date | 07/17/2012 |
| Last Update Date | 07/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477808442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23445 (Texas) | Primary |
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