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Organization
SMILE STUDIO PLLC
Active
Organization
SMILE STUDIO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAVAN CHILUVOJU DDS (OWNER)
(936) 327-7550
Entity
Organization
Contact information
Practice address
1772 W CHURCH ST, LIVINGSTON, TX 77351-9005
(936) 327-7550
Mailing address
1772 WEST CHURCH ST, LIVINGSTON, TX 77845
(936) 327-7550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28728
TX
Other
Enumeration date
07/03/2014
Last updated
01/07/2015
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