| Smile Makeover | |
|
670 W Campbell Rd Richardson TX 75080-3393 | |
| (414) 630-7384 | |
| Not Available |
| Full Name | Smile Makeover |
|---|---|
| Speciality | Dentist |
| Location | 670 W Campbell Rd, Richardson, Texas |
| Authorized Official Name and Position | Osama Siddiqui (OWNER) |
| Authorized Official Contact | 4697810231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Makeover 670 W Campbell Rd Richardson TX 75080-3393 Ph: (414) 630-7384 | Smile Makeover 670 W Campbell Rd Richardson TX 75080-3393 Ph: (414) 630-7384 |
| NPI Number | 1578148201 |
|---|---|
| Provider Enumeration Date | 03/15/2021 |
| Last Update Date | 11/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578148201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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