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Organization
ZEE SMILE DENTAL INC
Active
Organization
ZEE SMILE DENTAL INC
Active
Other names
WILLOW PARK FAMILY DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESEOGHENE ERHUVWUYOMA OKUGBAYE DDS (DIRECTOR)
(678) 698-1440
Entity
Organization
Contact information
Practice address
5189 E INTERSTATE 20 SERVICE RD S, 102, WILLOW PARK, TX 76087
(817) 441-2684
Mailing address
1209 GENESIS DR, MANSFIELD, TX 76063-8651
(678) 698-1440
(817) 783-6705
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
26223
TX
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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