| The Smile Lounge Pllc | |
|
3050 W Camp Wisdom Rd # 140 Grand Prairie TX 75052-4642 | |
| (602) 753-6706 | |
| Not Available |
| Full Name | The Smile Lounge Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3050 W Camp Wisdom Rd # 140, Grand Prairie, Texas |
| Authorized Official Name and Position | Shailendra Daniels (MANAGER) |
| Authorized Official Contact | 6027536706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Smile Lounge Pllc Po Box 625 Red Oak TX 75154-0625 Ph: (602) 753-6706 | The Smile Lounge Pllc 3050 W Camp Wisdom Rd # 140 Grand Prairie TX 75052-4642 Ph: (602) 753-6706 |
| NPI Number | 1790309094 |
|---|---|
| Provider Enumeration Date | 06/02/2020 |
| Last Update Date | 06/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790309094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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