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Organization
SOUTH LOOP DENTISTRY, P.C.
Active
Organization
SOUTH LOOP DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UMEKEI SMITH D.D.S (PRESIDENT)
(713) 662-2535
Entity
Organization
Contact information
Practice address
3264 SOUTH LOOP W., HOUSTON, TX 77025
(713) 662-2535
Mailing address
1090 NORTHCHASE PKWY STE 150, MARIETTA, GA 30067
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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