# DAZZLING SMILES DENTAL

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

## Provider details

- **NPI number:** 1104202019
- **Authorized official:** DR. KAVITHER SAGGAM SAGGAM M. DM (OWNER/DOCTOR.)
- **Authorized official phone:** (972) 820-0333

## Contact information

- **Practice address:** 2145 NORTH JOSEY LANE., CARROLLTON, TX 75006
- **Practice address phone:** (972) 820-0333
- **Practice address fax:** (972) 820-0335
- **Mailing address:** 2145 NORTH JOSEY LANE., CARROLLTON, TX 75006
- **Mailing address phone:** (972) 820-0333
- **Mailing address fax:** (972) 820-0335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | TX | Yes |
| 1223P0300X | Periodontics | — | TX | — |

## Other

- **Enumeration date:** 08/03/2015
- **Last updated:** 08/03/2015