# BELLA SMILES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023431442
- **Authorized official:** GAURAV PURI (PRESIDENT)
- **Authorized official phone:** (617) 281-7941

## Contact information

- **Practice address:** 1401 S JEFFERSON AVE, \#4, MOUNT PLEASANT, TX 75455-5643
- **Practice address phone:** (617) 281-7941
- **Mailing address:** 1401 S JEFFERSON AVE, \#4, MOUNT PLEASANT, TX 75455-5643
- **Mailing address phone:** (617) 281-7941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 24365 | TX | Yes |

## Other

- **Enumeration date:** 01/22/2014
- **Last updated:** 01/22/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 24365 | LICENSE | TX |
