| Prosper Smile Studio Pllc | |
|
900 S Preston Rd Ste 70 Prosper TX 75078-5143 | |
| (469) 280-0425 | |
| Not Available |
| Full Name | Prosper Smile Studio Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 900 S Preston Rd Ste 70, Prosper, Texas |
| Authorized Official Name and Position | Vicenta Reyes (CREDENTIALING LEAD) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosper Smile Studio Pllc 900 S Preston Rd Ste 70 Prosper TX 75078-5143 Ph: (469) 280-0425 | Prosper Smile Studio Pllc 900 S Preston Rd Ste 70 Prosper TX 75078-5143 Ph: (469) 280-0425 |
| NPI Number | 1811644289 |
|---|---|
| Provider Enumeration Date | 03/07/2022 |
| Last Update Date | 03/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811644289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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