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Organization
SMILE REHAB CENTERS
Active
Organization
SMILE REHAB CENTERS
Active
Other names
Smile Rehab Centers
Organization subpart
No
Provider details
NPI number
Authorized official
HANIFE CANAN BAYRAKTAROGLU DDS (OWNER)
(737) 747-2221
Entity
Organization
Contact information
Practice address
245 W STATE HIGHWAY 114 STE 130, SOUTHLAKE, TX 76092-3637
(737) 747-2221
(737) 273-8762
Mailing address
245 W STATE HIGHWAY 114 STE 130, SOUTHLAKE, TX 76092-3637
(737) 747-2221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
NULL
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
Primary
—
NULL
1223P0700X
Prosthodontics
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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