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Organization
PREMIER SMILES PLLC
Active
Organization
PREMIER SMILES PLLC
Active
Other names
UNIVERSAL DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IKENNA OKAFOR DDS (MANAGING MEMBER)
(512) 599-2491
Entity
Organization
Contact information
Practice address
1652 PAT BOOKER RD, UNIVERSAL CITY, TX 78148-3433
(210) 658-4011
(210) 658-3471
Mailing address
1652 PAT BOOKER RD, UNIVERSAL CITY, TX 78148-3433
(210) 658-4011
(210) 658-3471
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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