Life Smile Dental | |
211 W El Dorado Blvd Ste C Friendswood TX 77546-6533 | |
(832) 895-3405 | |
(281) 408-4031 |
Full Name | Life Smile Dental |
---|---|
Speciality | Clinic/center - Dental |
Location | 211 W El Dorado Blvd Ste C, Friendswood, Texas |
Authorized Official Name and Position | Sravan K Abbaraju (PRESIDENT) |
Authorized Official Contact | 8328953405 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Life Smile Dental 211 W El Dorado Blvd Ste C Friendswood TX 77546-6533 Ph: (832) 895-3405 | Life Smile Dental 211 W El Dorado Blvd Ste C Friendswood TX 77546-6533 Ph: (832) 895-3405 |
NPI Number | 1619492519 |
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Provider Enumeration Date | 08/11/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619492519 | NPI | - | NPPES |
1235417767 | Other | TX | NPI |
27239 | Other | TX | TEXAS LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 27239 (Texas) | Primary |
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