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Organization

NISHA LIZ JOHN P.L.L.C

Active
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Organization

NISHA LIZ JOHN P.L.L.C

Active
Other names
Big Grin Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NISHA LIZ JOHN DDS (PRESIDENT)
(803) 446-2831
Entity
Organization

Contact information

Practice address
3046 LAVON DRIVE, SUITE 125,127, GARLAND, TX 75040
(803) 446-2831
Mailing address
12040 ASHAWAY LANE, FRISCO, TX 75035
(803) 446-2831

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28575
TX

Other

Enumeration date
06/20/2016
Last updated
06/20/2016
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