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Organization
SUPERSMILES DENTAL CENTER
Active
Organization
SUPERSMILES DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEYUR K BHAGAT DDS (GENERAL DENTIST)
(210) 577-0516
Entity
Organization
Contact information
Practice address
15300 S IH 35, #300, BUDA, TX 78610-9703
(512) 523-8183
(512) 523-8629
Mailing address
15300 S IH 35, #300, BUDA, TX 78610-9703
(512) 523-8183
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31040
TX
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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