| Smile Village Dental Care | |
|
12810 Broadway St. Ste 110 Pearland TX 77584-6707 | |
| (713) 817-2966 | |
| Not Available |
| Full Name | Smile Village Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 12810 Broadway St. Ste, Pearland, Texas |
| Authorized Official Name and Position | Deanna Lynn Davis (GENERAL DENTIST) |
| Authorized Official Contact | 7138172966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Village Dental Care 13207 Broad Bay Ln Pearland TX 77584-6707 Ph: (713) 817-2966 | Smile Village Dental Care 12810 Broadway St. Ste 110 Pearland TX 77584-6707 Ph: (713) 817-2966 |
| NPI Number | 1649630757 |
|---|---|
| Provider Enumeration Date | 03/02/2016 |
| Last Update Date | 03/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649630757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22277 (Texas) | Primary |
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