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Organization

LIFETIME SMILES, PLLC

Active
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Organization

LIFETIME SMILES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAHRAM S ARZEGAR DDS (PRESIDENT/ OWNER)
(512) 550-4400
Entity
Organization

Contact information

Practice address
2100 W WILLIAM CANNON DR, SUITE C, AUSTIN, TX 78745-4881
(512) 550-4400
(512) 284-8959
Mailing address
2100 W WILLIAM CANNON DR, SUITE C, AUSTIN, TX 78745-4881
(512) 550-4400
(512) 284-8959

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23982
TX
1223P0221X
Pediatric Dentistry
22434
TX

Other

Enumeration date
01/13/2011
Last updated
01/13/2011
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