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Organization
SE SMILE BY DESIGN
Active
Organization
SE SMILE BY DESIGN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDON SEAN ENDSLEY (DENTIST)
(254) 799-9540
Entity
Organization
Contact information
Practice address
901 ASHLEMAN ST, WACO, TX 76705-2900
(254) 799-9540
Mailing address
901 ASHLEMAN ST, WACO, TX 76705-2900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19559
TX
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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