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Organization

SMILEY DENTAL WALNUT, PLLC

Active
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Organization

SMILEY DENTAL WALNUT, PLLC

Active
Other names
Medallion Smiley Dental, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
LYNH THY T PHAM DENTIST (DDS) (PRESIDENT/OWNER)
(214) 466-1400
Entity
Organization

Contact information

Practice address
4431 W WALNUT ST, #A, GARLAND, TX 75042
(972) 485-1200
(972) 485-1211
Mailing address
PO BOX 451268, GARLAND, TX 75045
(214) 466-1400
(214) 466-1404

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19887
TX

Other

Enumeration date
01/09/2007
Last updated
12/29/2011
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