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Organization
ISMILE DENTAL AT BROADWAY
Active
Organization
ISMILE DENTAL AT BROADWAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE NGUYEN (OFFICE MANAGER)
(214) 790-1012
Entity
Organization
Contact information
Practice address
4449 BROADWAY BLVD, GARLAND, TX 75043-3435
(972) 303-0105
(972) 303-0106
Mailing address
3209 LESTER DR, RICHARDSON, TX 75082-3771
(214) 790-1012
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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