| Second Impression Smiles, Pllc | |
|
1705 Fountainview Dr Ste 105 Mansfield TX 76063-7808 | |
| (682) 232-4335 | |
| Not Available |
| Full Name | Second Impression Smiles, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1705 Fountainview Dr Ste 105, Mansfield, Texas |
| Authorized Official Name and Position | Tanaya Claiborne Sanders (CO-OWNER/ DENTIST) |
| Authorized Official Contact | 2149294728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Impression Smiles, Pllc 1705 Fountainview Dr Ste 105 Mansfield TX 76063-7808 Ph: (682) 232-4335 | Second Impression Smiles, Pllc 1705 Fountainview Dr Ste 105 Mansfield TX 76063-7808 Ph: (682) 232-4335 |
| NPI Number | 1134957459 |
|---|---|
| Provider Enumeration Date | 07/26/2024 |
| Last Update Date | 07/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134957459 | NPI | - | NPPES |
| 1568782274 | Other | ALIX H. SANDERS JR. DDS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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