| Marvel Dental Smile | |
|
1921 W 15th Street Suite 100 Plano TX 75075-7311 | |
| (469) 573-3664 | |
| (469) 573-3664 |
| Full Name | Marvel Dental Smile |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1921 W 15th Street, Plano, Texas |
| Authorized Official Name and Position | Reza Naderi (PRESIDENT/ OWNER) |
| Authorized Official Contact | 4695733664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marvel Dental Smile 1921 W 15th Street Suite 100 Plano TX 75075-7311 Ph: (469) 573-3664 | Marvel Dental Smile 1921 W 15th Street Suite 100 Plano TX 75075-7311 Ph: (469) 573-3664 |
| NPI Number | 1285016873 |
|---|---|
| Provider Enumeration Date | 06/19/2015 |
| Last Update Date | 06/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285016873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 23740 (Texas) | Primary |
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