# SPECIAL SMILES DENTAL AND ORTHODONTICS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Specialty Smiles Kids Family Dentistry & Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043895980
- **Authorized official:** DR. MOHAMMED AL AZZAWI BDS,MS,MS, PHD (MEMBER)
- **Authorized official phone:** (916) 595-3187

## Contact information

- **Practice address:** 1875 COUNTY ROAD 101 STE 150, MANVEL, TX 77578-2136
- **Practice address phone:** (821) 607-5155
- **Mailing address:** 13210 LAGUNA SHORES DR, PEARLAND, TX 77584-6748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/12/2021
- **Last updated:** 03/12/2021