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Organization
SMILE 360 PLLC
Active
Organization
SMILE 360 PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT KING IP D.D.S. (DENTIST)
(512) 814-2084
Entity
Organization
Contact information
Practice address
1509 S LAMAR BLVD, SUITE 675, AUSTIN, TX 78704
(512) 444-4746
(512) 442-4750
Mailing address
1509 S. LAMAR BLVD #675, AUSTIN, TX 78704
(512) 444-4746
(512) 442-4750
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22901
TX
Other
Enumeration date
02/21/2012
Last updated
05/16/2013
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