| Jupiter Smiles | |
|
3460 W Walnut St Ste 600 Garland TX 75042-7118 | |
| (972) 276-6400 | |
| Not Available |
| Full Name | Jupiter Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3460 W Walnut St Ste 600, Garland, Texas |
| Authorized Official Name and Position | Larry Tam (MANAGING MEMBER) |
| Authorized Official Contact | 9722766400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jupiter Smiles 3460 W Walnut St Ste 600 Garland TX 75042-7118 Ph: (972) 276-6400 | Jupiter Smiles 3460 W Walnut St Ste 600 Garland TX 75042-7118 Ph: (972) 276-6400 |
| NPI Number | 1104349992 |
|---|---|
| Provider Enumeration Date | 07/24/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104349992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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