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Organization
MIRACLE SMILE FAMILY DENTAL AND ORTHODONTICS PLLC
Active
Organization
MIRACLE SMILE FAMILY DENTAL AND ORTHODONTICS PLLC
Active
Other names
Miracle Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NISHA MODI (DDS)
(469) 346-6612
Entity
Organization
Contact information
Practice address
1001 S HIGHWAY 377, 107, AUBREY, TX 76227
(469) 346-6112
Mailing address
8628 FOREST GLEN DR, IRVING, TX 75063-4201
(469) 346-6612
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/16/2022
Last updated
06/09/2022
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