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Organization
SMILEY DENTAL TIDWELL PLLC
Active
Organization
SMILEY DENTAL TIDWELL PLLC
Active
Other names
SMILEY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
LYNH PHAM DDS (OWNER)
(214) 718-7880
Entity
Organization
Contact information
Practice address
9417 MESA DR, STE A, HOUSTON, TX 77028-1253
(214) 718-7880
Mailing address
PO BOX 453247, GARLAND, TX 75045-3247
(214) 718-7880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19887
TX
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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